
Zelis is a healthcare technology company dedicated to modernizing the financial experience within the healthcare system. By providing a connected platform, Zelis bridges gaps and aligns the interests of payers, providers, and healthcare consumers, aiming to reduce costs and administrative burdens while enhancing overall experiences.
Vendor
zelis
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- Zelis Advanced Payments Platform (ZAPP)
A comprehensive, rule-based engine designed to streamline healthcare payments and communications, enhancing efficiency and compliance for payers, providers, and members.
- Zelis Expert Claims Review
A comprehensive bill review solution that combines human expertise with advanced technology to identify coding errors and inappropriate charges, ensuring accurate claim payments and enhancing savings.
- Zelis In-Network Pricing and Contract Modeling
A comprehensive, configurable solution that automates claim pricing and enhances provider contracting negotiations, offering transparency and accuracy.
- Zelis Open Access Pricing
A reference-based pricing (RBP) solution that sets maximum reimbursement amounts using pre-defined prices, offering a controlled savings model and empowering members with greater provider choice.
- Zelis Out-of-Network Solutions
A comprehensive suite of services designed to manage and reduce out-of-network healthcare costs through expert negotiations, network pricing, and compliance solutions.
- Zelis S365
A personalized care navigation platform that empowers members to search for, evaluate, and select high-value healthcare providers and facilities.