Articles from Zelis

Zelis, a leading provider of healthcare technology solutions, achieves Great Place to Work certification in the United States for a third consecutive year and for the second time in India. The honor was determined based on associates’ survey responses related to their experience at Zelis, the workplace culture, and their perception of Company leadership. The survey of current associates working at Zelis found that 88% believe Zelis is a great place to work.

Zelis, a leading provider of healthcare technology solutions, has acquired the assets of Medxoom, a mobile-first member experience platform, from Allied Benefit Systems, LLC, the largest independent third-party administrator (TPA) in the United States. Zelis plans to enhance the vendor-agnostic platform and reintroduce it as a solution for health plans and TPAs, offering a differentiated platform that empowers members to find and access quality care.

Zelis, a leading provider of healthcare technology solutions, has agreed to sell a minority stake in the company to a group of investors, led by Mubadala Investment Company and including Norwest and HarbourVest. Parthenon and Bain Capital remain the majority owners of Zelis.

Zelis, a leading provider of healthcare technology solutions, releases Zelis Health Bill AssistSM, a first-of-its-kind solution to give payers the ability to support plan members with out-of-network health bills at no cost to members. As health plans try to manage the complexity and volume of out-of-network billing issues, the innovation from Zelis delivers specialized expertise and scalable support to improve the member’s healthcare financial experience while reducing the administrative burden for providers.

Zelis, a leading provider of healthcare technology solutions, is named to the 2024 Inc. 5000 list, an annual ranking of the fastest-growing private companies in America. This latest milestone for Zelis comes after months of significant growth and the introduction of innovations that are helping to modernize the healthcare financial experience for all.

Zelis, a leading provider of healthcare technology solutions, unveils the Zelis Advanced Payments Platform℠ (ZAPP) to help payers process high volumes of claims payments and communications, along with technical requirements, in one integrated platform. As technology, regulatory standards, and customer needs evolve, ZAPP helps payers simplify and streamline operations, reduce complexity, and stay compliant while providing a payment experience that meets their needs and those of providers and members today, and in the future. The innovative technology from Zelis was developed in close partnership with clients for nearly two years and is now generally available.

Zelis, a leading provider of healthcare technology solutions, announced today its newest service offering: In-Network Pricing and Contract Modeling. The addition of this solution further solidifies the company’s position to help health plans understand and proactively navigate claim pricing, processing and financial impacts resulting from contract changes. Rounding out the company’s full-service claim-pricing suite, health plans can now benefit from a comprehensive solution set that enhances precision and transparency in contract claim pricing and comparative modeling.

Zelis, a leading provider of healthcare financial solutions, and Availity, the nation’s largest real-time health information network, announced today a strategic alliance to streamline the end-to-end process between healthcare payers and providers, from administrative workflows through payments.

Zelis, a leading provider of healthcare technology solutions, announced today the launch of SmartShopper Propel, an omnichannel member engagement and activation solution designed to help health plans (including commercial, Medicare, and Medicaid) support better member health habits and increase member satisfaction. SmartShopper Propel is backed by intelligent consumer-focused engagement strategies and proven incentivization capabilities.

Zelis, a leading provider of healthcare technology solutions, today announced that its Payment Integrity solutions received the top honor for Payment Accuracy & Integrity Solutions (Payer) segment in the 2024 Best in KLAS Awards – Software and Services. The annual ranking recognizes software and services companies that excel in helping healthcare professionals improve patient care.

Zelis, a healthcare technology company modernizing the healthcare financial experience for all, today announced that its payer clients can now offer their members a way to save customizable digital health insurance ID cards to Google Wallet. This new pass type in Google Wallet helps healthcare consumers easily identify private passes and requires users to use fingerprint, PIN or other methods to add, view, and use their health insurance ID card in Google Wallet.

Zelis, a healthcare technology company modernizing the healthcare financial experience for all, has been named by Fortune as a 2023 Best Workplace in Health Care. Among a list of 40 large workplaces, Zelis ranked at #16 in its debut on the list.

Zelis, a healthcare technology company modernizing the healthcare financial experience for all, today announced a partnership with Rectangle Health, a financial technology company providing software solutions to healthcare organizations, to launch the first of its kind, straight-through processing of healthcare and dental digital payments for healthcare providers.

Zelis, a healthcare technology company modernizing the healthcare financial experience, today announced the launch of Healthcare Insights 360. This new healthcare intelligence solution pairs data from Zelis’ robust network analytics solutions with intelligent technology that collects, normalizes, and translates the billions of cost data elements that have recently become available through the federal Transparency in Coverage Rule.

Zelis, a healthcare technology company modernizing the healthcare financial experience for all, today announced the launch of its new open access pricing solution. Self-funded employers, which represent 65% of U.S. workers, often struggle to sustain the cost of traditional health plan premiums, and existing solutions are often fragmented and have not delivered a satisfactory experience for members in accessing and navigating care.

Zelis, a technology company modernizing the healthcare financial experience for all, today announced it has earned certification by Great Place to Work®. In surveying current associates about their experience working at Zelis, Great Place to Work® found that 87% of associates said Zelis is a great place to work – that’s 30 percentage points higher than the average U.S. company.

Insert after fourth paragraph before the boilerplate of release dated April 3, 2023: Sue will succeed Patrick O’Keefe, who joined Zelis as CRO in 2017 after holding executive roles at Anthem, United Healthcare and Oxford Health Plans, and has chosen to now serve as Senior Advisor to the CEO after successfully leading our exceptional growth for the past six years.

Zelis, a company modernizing the business of healthcare, today announced findings from a new study on consumer billing conducted in partnership with Hanover Research, an independent research firm. In the online survey administered to 800 U.S. consumers who had found at least one medical billing error in the last five years, 41% of the consumers are significantly frustrated trying to address billing errors.

Zelis®, a company modernizing the business of healthcare, announced today the completion of its acquisition of Payspan®, a leader in healthcare electronic payment and reimbursement automation services. The U.S. healthcare system is complex, with disjointed and often challenging financial processes. Delivering a better experience hinges on the efficient and seamless delivery of payments among insurers, providers, and consumers. The combination of these two companies, unifying an expansive array of capabilities in the new Zelis Advanced Payment Platform SM will improve the healthcare financial experience for all.

Zelis, a leading healthcare payments and pricing company, announced today the completion of its previously announced acquisition of Payer Compass, one of the healthcare industry’s leading providers of reimbursement and claims pricing, administration, and processing solutions.

Zelis, a leading healthcare payments company, announced today the appointment of Wayne S. DeVeydt to its Board of Directors. Wayne was appointed as the Executive Chairman of Surgery Partners, Inc. in February 2020, where he leads the company in strategic financial decisions. He previously held the title of Chief Executive Officer and Director.

Zelis, a leading healthcare payments and pricing company, announced today it entered into a definitive agreement to acquire Payer Compass, one of the healthcare industry’s leading providers of reimbursement and claims pricing, administration, and processing solutions. Navigating the rising costs and ever-changing healthcare regulations in the United States is extremely complex and challenging for all participants. Like Zelis, Payer Compass has proudly and effectively developed innovative solutions to help price, explain, and mitigate healthcare costs, helping members better navigate the often-complex financial journey without sacrificing quality of care.

MedTech Breakthrough Awards today named Zelis, a leading healthcare payments company, the 2022 Best Overall Digital Health Company. This annual awards program conducted by MedTech Breakthrough, an independent market intelligence organization, recognizes the top companies, technologies, and products in the global health and medical technology market.

Zelis, a leading healthcare payments company, announced today the appointment of Linda Zukauckas, to its Board of Directors. Linda is the Chief Financial Officer at Nielsen, leading the company’s financial strategy globally, and has previously served on the Board of Directors for public and private companies including MTS Systems Corporation and American Express Global Business Travel.

Zelis, a leading healthcare payments company, today announced Heather Valteris will be joining the company as Chief Marketing Officer and a member of the Operating Committee. Heather is a tenured global marketing executive with more than 20 years of experience driving positive change in global Fortune 100 companies. In her new role, Heather will lead Zelis’ marketing strategy to build upon Zelis’ market position, drive measurable business growth, and position the company for its next chapter.

Zelis, a leading payments company in healthcare, today announced the completion of its previously announced acquisition of Sapphire Digital (“Sapphire”), the healthcare industry’s leading platform for provider selection, patient access, price transparency, and digital consumer navigation. Nearly 100 million people rely on Sapphire to help them discover, select and gain access to the care they need.

Zelis, a leading payments company in healthcare, has announced a refreshed brand and mission statement to align with its culture, business objectives, and expanded offerings to address major recent legislative change. The new visual identity and tagline--pay for care, with care--reflect Zelis’ commitment to harmonizing the complete payment process in healthcare for payers, providers and consumers with methodical precision and a spirit of caring for clients and their constituents.

Zelis, a leading payments company in healthcare, announced today it entered into a definitive agreement to acquire Sapphire Digital (“Sapphire”), the healthcare industry’s leading platform for provider selection, patient access, price transparency, and digital consumer navigation. More than 100 million people rely on Sapphire to help them price, select and access care with confidence. As part of the transaction, the Sapphire leadership team will join Zelis to help lead the combined company’s healthcare consumer solutions business.

Inc. magazine revealed that Zelis, the leading payments company in healthcare, has been named for the 11th time to the annual Inc. 5000 list, the most prestigious ranking of the nation’s fastest-growing private companies. Zelis ranks No. 4464 with three-year revenue growth of 60 percent.

Zelis, the leading payments company in healthcare, today released findings from a survey conducted in July 2021 that polled healthcare insurers to assess their current readiness and preparation plans to meet the requirements set by the No Surprises Act (NSA). The NSA seeks to protect patients from surprise medical bills and includes transparency requirements, including an Advanced Explanation of Benefits (AEOB) for members that applies to both in- and out-of-network care. The way the law is currently written, for any healthcare service, a provider must send the patient’s insurer an estimate of expected charges. With that information, the insurer creates an AEOB, including the patient’s out-of-pocket estimates, and sends it to the patient before the scheduled service.

Zelis, the leading payments company in healthcare, announced today that Amanda Eisel has joined the company as its new Chief Executive Officer. A 20-year strategic management and investment industry veteran, Eisel has focused her career at the intersection of healthcare and technology. Eisel will succeed current CEO R. Andrew Eckert, who is stepping down for personal reasons. Eckert has strengthened Zelis’ foundation significantly by enhancing Zelis’ management processes and operational systems and bringing on talented leaders. He has helped set the stage for continued tremendous growth.

H.R. 3630 or The No Surprises Act (NSA), which was signed into law on December 27, 2020, provides protection nationwide for patients from surprise medical bills and prohibits balance billing for certain out-of-network care. Although this is good news for patients facing crippling and often unexpected medical bills, healthcare insurers and providers must hustle to adjust systems, processes, and technological capabilities to comply beginning January 1, 2022.