Zelis Payments
Zelis Payments is a medical billing software that allows businesses to accept payments and track sales data in a single, secure portal. It's designed to help medical practices, dental providers, and large insurance networks save time and money.
Zelis helps you go beyond simply receiving payments electronically from a single-payer. By enrolling with Zelis, you will have access to a single secure platform to manage electronic claim payments and data from a network of 450+ payers.
Zelis Payments uses a multi-layer security approach that's backed by HITRUST certification to protect information and payments. The service is designed to help businesses: Increase access to patients, Improve the speed and accuracy of payments, Get paid and close books faster, Reduce administrative tasks, and Free up teams from month-end stress.
Features Of Zelis Payment
Zelis is a healthcare payments and communications platform that offers a variety of features and benefits:
- Payments: Zelis offers faster and more seamless payments, and members can be confident that their payments are received and credited to their account.
- Communications: Zelis' Episodic EOB feature consolidates mailings and provides a single portal for members to understand their plan information. This can help members prepare for out-of-pocket costs with accurate cost estimates.
- Open access health plans: Zelis' Reference-Based Pricing (RBP) solution provider allows brokers and TPAs to offer open access health plans with customizable benefit and plan designs. This can give members more freedom of choice when selecting providers and may lead to lower healthcare costs and increased pricing transparency.
- Care networks: Zelis' platform can help design, assess, and maintain care networks, and can guide care access.
- Member experience: Zelis offers support for members before and after visits, including balance billing, education about RBP, and legal escalation support.
- Tools for reconciliation: Simplify the reconciliation process with 835 data and data download
- Preferred payment methods: Choose from ACH+, virtual card, or check
- Flexible workflow configurations: Customize options, reports, concept suites, and rules to maximize business outcomes
- Analytics: Use comprehensive analytics for precise pre-payment claim review
- Online portal: Access data and customize notifications through a secure web portal that gives your team 24/7 access to payment status.
Overview of Zelis Payments
What do Zelis payments do?
Zelis Healthcare is a Private company. Zelis Payments Network for Medical Practices. Over 450+ payers send you data and receive payments through a single, secure portal. Zelis helps make getting paid hassle free so you can focus on closing your books faster and providing high quality of care to your patients.
What kind of company is Zelis?
For 20 years, Zelis has stood beside you at the front lines of modernizing the business of healthcare providing what’s needed to help you do your critical mission: deliver quality care at a reasonable cost.
What is the legal name of Zelis?
Zelis Healthcare Corporation operates as a healthcare information technology company. The Company focuses on network analytics and access, claims integrity, and zelis electronic payments for healthcare payers, providers, and consumers in the medical, dental, and workers' compensation.
How big is Zelis?
On a combined basis, Zelis and RedCard serve over 700 payer clients, including the top five national health plans, Blue Cross Blue Shield plans, regional health plans, TPAs and self-insured employers, and 600,000+ providers, delivering approximately $5 billion of claim savings, $50 billion of provider payments and more
Understanding Zelis Payments
How do Zelis payments work
Zelis is a healthcare payments and communications platform that offers a variety of payment options for providers, including virtual credit cards (VCCs), ACH+, and paper checks:
VCCs: One-time use cards that providers can enter into a merchant terminal to receive immediate payment for claims. Providers can fax or download the cards, and can also investigate payment history in the provider portal.
ACH+: A fee-based option that allows providers to receive payments directly into their bank account. ACH payment processing costs can range from zero to $10, but Zelis charges a fee for ACH payments. Zelis may negotiate rates with users who process a high volume of ACH transactions.
Paper checks: Traditional check payments that are mailed to providers.
Zelis also offers other services, such as claims editing, payment integrity solutions, and market-based pricing. Providers can use Zelis to:
Edit claims: Pay claims on time, deny claims with potential errors, and enforce claims that fall into clinical gray areas.
Optimize revenue: Use expert analysis and recommendations to improve claims payments and trends, and reduce claim appeals.
Get paid faster: Close books faster, reduce AR, and streamline the revenue cycle.
Get customized pricing: Receive price recommendations based on their plan and preferences.
How do Zelis payments work for providers?
Zelis helps providers streamline their claim management process by offering a consolidated, secure platform to manage claim payment and remittance information from a network of 450+ payers. Information and payments are protected using a multi-layer security approach, backed by HITRUST certification.
Setting Up and Using Zelis Payments
How do I set up a Zelis payment account?
How do I get started? We’re here to help you as soon as you start. Interested? Contact us by completing the Provider Enrollment form or call 855.496.1571 and a Zelis enrollment advisor will reach out to help setup an easy process.
How do I email Zelis payments?
Questions? Contact the Client Service Team at 877.826. 8770 or email us at suppot@zelispayments.com. Thanks for choosing Zelis Payments.
How do I contact Zelis for payment?
Questions. If you have questions regarding the registration or electronic and print payment fulfillment processes, please contact Zelis Payments directly at (877) 828–8770.
Can you opt out of Zelis payments?
Providers have the option to opt out of Zelis payments, opt out of Zelis statements, or opt out of both. If the provider does not accept their zelis electronic payment within 30 days of the paid date then Zelis will send a paper check and statement.
Zelis Payments Details
What is Zelis Payments Clearwater FL?
zelis payments, inc. is a service that helps businesses, including medical practices and property and casualty plans, manage payments and data:
Medical practices
Zelis Electronic Payments provides one, secure portal for medical practices to receive payments and data from over 450 payers. This can help practices close their books faster, reduce administrative tasks, and free up teams from month-end stress. In addition, Zelis Payments provides tools to make reconciliation as easy as possible, and providers can get paid via ACH directly into their bank account or via virtual card.
Property and casualty plans
Property and casualty payers can reduce costs and simplify the payment process with the help of Zelis payments, inc. Zelis is a company that works with over 700 payers, 1.5 million providers and millions of members that Zelis Payments is part of.
Where is Zelis payment 33716?
570 Carillon Pkwy, Ste 500 Saint Petersburg, FL 33701 War memorial map.
What is Zelis payments zip code?
Zelis Payments Inc has multiple locations in the United States, including:
- Morristown, NJ: 340 Mount Kemble Ave., Morristown NJ 07960-6679
- St Petersburg, FL: 570 Carillon Pkwy Suite 500 St Petersburg FL 33716
At Zelis Electronic Payments, we produce healthcare information technology for healthcare providers, payers and healthcare consumers through Zelis electronic payments.
What is Zellis payroll?
Zellis is the largest provider of payroll and HR software to USA and UK based companies with over 1,000 employees. Now providing payroll and HR managed services to 10,000 companies across the USA and UK. With over 60 years doing this, over 2,500 people working for us, and as customers we got over 45 of the FTSE 100.
Evaluating Zelis Payments
Benefits of Zelis Payments, inc;
Zelis Payments streamlines the billing and payment processes for healthcare providers, insurance networks and payers who send and receive many payments per month. In addition to these features, Zelis offers other helpful features for businesses to help them save time and money, increase accuracy and decrease administrative burden.
Faster payments
Zelis clients can get paid up to 16 days faster using virtual cards or ACH+ instead of paper checks.
Reduced staffing costs
Zelis's automated service can reduce the time spent manually handling payments by up to six times.
Improved accuracy
Zelis offers claims editing services to help ensure claims are accurate and reduce claim appeals.
Better cash flow
Zelis can help improve security and cash flow at every step of the process.
Market-based pricing
Zelis's platform includes market-based pricing to help businesses set their pricing strategy.
Reporting options
Zelis offers various reporting options, including an online portal that gives teams 24/7 access to payment status.
Zelis payments Pros and Cons
Zelis Payments, inc. is a system that helps businesses track sales data and accept payments. Reviews mention its ease of use but also criticize its fees and processing times.
Pros
Easy to use Can save businesses time and money
Security Uses a multi-layer security approach with HITRUST certification
Negotiated rates Reduce out-of-pocket costs when using Zelis' negotiated rates
Cons
Fees Charge a 4% fee for EFT processing, or providers can receive an electronic credit card and pay a 4% processing fee to their credit card provider
Processing times Some say Zelis has slow processing timelines
Network option Zelis is a non-PPO network option, so claims are considered at the non-PPO benefit level
In 2024, KLAS named Zelis Payment Integrity a top performer based on client ratings, with an overall performance score of 93.9 out of 100. However, some Better Business Bureau complaints criticize Zelis for slow processing and charging fees that other companies don't.
Zelis Payments Reviews
Here are some reviews of Zelis:
1: Forbes
In May 2024, Forbes said that Zelis's platform can help streamline billing management and save time for insurance networks and providers. They also noted that the platform's market-based pricing and reporting options can help businesses earn more money.
2: KLAS
In February 2024, KLAS named Zelis Payment Integrity a top performer in their 2023 report on payment accuracy and integrity solutions. Zelis received a score of 93.9 out of 100, and 100% of payer clients interviewed said they would choose Zelis again.
3: Third-party administrators
According to Zelis, some third-party administrators recommend Zelis for its cost reduction solutions, service, and product and service improvements. They say that Zelis provides the tools needed to succeed and navigate market demands.
4: Glassdoor
Some Glassdoor reviews say that Zelis is a great company to work for if you're on the Price or Pay teams, but that other teams are disorganized and slow. Others say that employees are treated well and that the company has innovative technology and vision.
5: Better Business Bureau
According to the Better Business Bureau, Zelis has received complaints about service or repair issues, billing issues, customer service issues, product issues, order issues, and sales and advertising issues. One reviewer on the BBB says that Zelis's fees make it difficult for small businesses to operate
6: Is Zelis payments legit?
Is Zelis Payments legitimate? Zelis Payments is a legitimate platform that focuses on processing healthcare payments via medical and dental practices as well as large health networks and insurance carriers.
Company Information
Who bought Zelis?
Zelis chose Bain Capital because these are our strengths. With a long track record in healthcare, technology, and payments, Bain Capital Private Equity and Bain Capital Ventures were able to develop a differentiated view of Zelis's advantages in diligence with more conviction and speed than other potential acquirers.
Who is the CEO of Zelis?
Perspectives from the desk of Zelis CEO, Amanda Eisel.
Additional Guidelines
Here are some guidelines for Zelis Payments:
Registration
To verify a payment from Zelis Electronic Payments, you can click "Yes" if you've received a payment before, and then enter your organization's TIN, NPI, and registration code. You can reset your registration code by contacting Zelis Payments' Membership Department at (877) 828–8770.
Enrollment
To enroll with Zelis, you can fill out the Provider Enrollment form, call (855) 496-1571, or wait for an enrollment advisor to contact you. The time it takes to enroll depends on the size of your practice and the payment option you choose.
Security
Zelis uses a multi-layer security approach to protect information and payments, and is HITRUST certified. Zelis charges a fee for this service.
What does Zellis do?
Our mission is to help our customers make every moment at work count. We achieve this through award-winning payroll and HR solutions which both optimize your fundamental processes and deliver the modern, digital employee experiences that make people feel appreciated for the work they do.
Is Zelis free?
Information and payments are protected using a multi-layer security approach, backed by HITRUST certification. To support this complex infrastructure, ensure the safety and security of funds and data, and make continuous improvements for providers, Zelis charges a fee for this service.