As payers look to reduce costs, providers work to operate their practices, and members search for affordable and accessible care experiences, the complexity around healthcare claims continues to increase.
This playbook explains how mitigating the complexity around claims and payments and streamlining overall operations is crucial for health plans to improve both the provider and member experience.
Finding answers in an integrated payment and communication platform to:
However, payers must first make an honest assessment of their current payment systems.
After assessing their own disparate systems and points of concern, organizations should look towards a strategic technology partner that guarantees access to powerful technology.
“Zelis brings a balance of technology and business knowledge that offers us the opportunity to offer creative and supportive solutions to meet our clients' needs. They have continued to support us outside of the initial sales and implementation process like no other partner. ”
– Wanda, AVP of TPA
“Working with Zelis has helped us take an end-to-end approach to problems starting with pre-payment, looking at the best way to pay those claims initially to get the best pricing available. We work with Zelis from Pre-payment through the payment.”
– Todd, Manager at Regional Health Plan