Zelis
Pay for care, with care.
Overview
Zelis focuses on optimizing healthcare payments and pricing. While primarily known for its payment integrity, network solutions, and claims cost management, it offers services that touch upon the pre-service stage, including member eligibility and navigating complex claims, which can involve authorization components. Their solutions are more payer-focused but impact the provider authorization workflow.
✨ Key Features
- Payment Integrity
- Claims Cost Management
- Network Analytics and Optimization
- Digital Payments
- Member Eligibility
🎯 Key Differentiators
- Focus on the intersection of payments, pricing, and claims
- Strong payer-side solutions
- Comprehensive platform for cost containment and payment optimization
Unique Value: Modernizes the business of healthcare by aligning the interests of payers, providers, and consumers to optimize the cost and process of payments.
🎯 Use Cases (3)
✅ Best For
- Serving hundreds of payers and thousands of providers.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Providers looking for a direct, front-end prior authorization submission tool
🏆 Alternatives
Focuses more on the financial transaction and cost containment aspects of healthcare rather than the clinical workflow of prior authorization.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Enterprise tier)
🔒 Compliance & Security
💰 Pricing
Free tier: N/A
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