The Doctor Is In

Increasing claims volume can mean more coding and billing errors, leading to a rising number of denials. Of course, this adds even more stress to the already strained payer–provider relationship. As health plans look to improve payment accuracy, they also run the risk of adding more provider friction into the process.   

At Zelis, we are on a mission to modernize the healthcare financial experience for all. As a part of that, we recognize that protecting the payer–provider relationship is key to a successful partnership. This toolkit is built to provide payers with blueprints, strategies, and best practices for improving the provider experience while also improving operations and payment accuracy.   

When there is less provider abrasion, there are more opportunities to let care flow, creating a culture of trust that empowers providers to deliver high-quality care to your members. 

Welcome to The Doctor Is In

Timothy J. Garrett, MD, MBA 

Chief Medical Officer   

Dr. Garrett

Five Payment Integrity Strategies to Reduce Provider Friction

Check out these five strategies to improve your relationship with providers and bolster your payment integrity program.

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Five Strategies to Reduce Provider Abrasion Within Your Payment Integrity Programs

Zelis Chief Medical Officer Dr. Timothy Garrett shares key strategies to help reduce provider abrasion within payment integrity.

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Transparency is King: Four Ways to Reduce Provider Abrasion in Claims Pricing 

Discover how to reduce provider abrasion in claims pricing with these tips from Zelis General Manager Rick Ellsworth.

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Two-Minute Take: The Provider Experience

We asked Jamie Brocki, VP of Customer Experience, to shed light on the provider experience and how payers can support providers in meeting digital demands. Find out what she has to say.

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5 Ways Healthcare Payers Can Improve Provider Satisfaction

Find out how healthcare payments can deliver numerous benefits to both providers and members.

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From the Office of the CMO: Top Trends for 2024

Dr. Timothy Garrett, Chief Medical Officer at Zelis, shares important trends that will impact both providers and payers.

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Addressing Provider Abrasion: 5 Strategies for Regional Health Plans

Explore five strategies for regional health plans to improve communication, build trust and reduce provider abrasion.

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Revolutionizing Provider Payments with AI

Unlock the transformative power of AI in provider payments – enhancing efficiency, reducing costs, and prioritizing patient satisfaction.

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Health Plans Must Modernize Payment Systems to Keep Provider Base

Retaining a robust provider base poses an ongoing challenge. Find out why improving provider satisfaction and payment processes play a key role.

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Reducing Provider Abrasion in Healthcare: Strategies and Insights

Listen as Zelis Chief Medical Officer Dr. Timothy Garrett shares key strategies health plans can leverage to reduce provider abrasion.

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As featured in HealthPayer Intelligence: Three Tips to Reduce Provider Abrasion and Enhance Payment Integrity

Enhancing payment integrity and reducing provider abrasion requires clear communication, human expertise in complex billing and customized solutions to ensure effective relationships between payers and providers.

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Five Ways to Improve Provider Acceptance of Claims Edits

Reduce provider abrasion and increase their acceptance of claims edits with these helpful tips from Zelis experts.

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Want to talk to our payment integrity experts? We’re here to help!