zelisZelis 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.
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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 ReviewA 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 ModelingA comprehensive, configurable solution that automates claim pricing and enhances provider contracting negotiations, offering transparency and accuracy.
Zelis Open Access PricingA 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 SolutionsA comprehensive suite of services designed to manage and reduce out-of-network healthcare costs through expert negotiations, network pricing, and compliance solutions.
Zelis S365A personalized care navigation platform that empowers members to search for, evaluate, and select high-value healthcare providers and facilities.