Zelis delivers integrated network analytics and access, payment integrity, electronic payments and claims communications for payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.
Zelis is headquartered in Bedminster, NJ with other key locations in Atlanta, GA; Clearwater, FL; Overland Park, KS; and St. Louis, MO.
Zelis was founded in January 2016 with the combination of four growth companies focused on claims cost solutions and electronic payments.
We spend more than $3 trillion a year on healthcare in America. At Zelis, we believe that we all pay about 1/3 more for healthcare than we should.
Each year, about $1 trillion is spent due to errors, waste, fraud and abuse. And, we spend even more on the $500 billion of paper-based payments to providers which can be converted to electronic payments.
We’ve brought together some of the best leaders in the industry and invested in leading-edge technology to help make healthcare more affordable and more understandable for all of us.
Our disruptive approach begins by working in the prepayment window, before claims get paid to ensure claims are paid appropriately the first time around.
Zelis is purpose-built to eliminate the stress points in the claims lifecycle. With Zelis, payers get the information required to build the networks their members demand; claims get paid appropriately; payments are delivered faster, more accurately and on the terms providers prefer; and, healthcare is made more understandable for providers and consumers.
Our proprietary claims editing solution encompasses more than 18 million customizable edits sourced to national coding standards, making them reliable and defensible. More than 85% of the time, we identify additional network cost, claims cost and payments cost savings that other companies are unable to find. We help save payers an average of 60% of the cost of making healthcare payments by converting from paper-based payments to electronic payments.
Zelis has helped more than 700 payers save more than $27 billion in network and claims cost since inception. We’ve delivered more than $50 billion in annual payments to more than 700,000 contracted providers on behalf of 330+ payer clients, and more than 500 million payment data communications annually.
We’re building a single, integrated solution that brings everything together. We are Zelis.
• Zelis was recognized as a Great Place to WorkCertified™ company
• Zelis has ranked on Inc. 5000, an annual list of the fastest-growing private companies in the U.S., nine (9) times
• Zelis was the #1 fastest-growing private company in New Jersey in 2017, #4 in 2018 and #19 in 2019, according to NJBIZ
• Zelis CEO Doug Klinger was recognized as an EY Entrepreneur Of The Year® winner
• Zelis CEO Doug Klinger was named a Power 50 Healthcare Leader by NJBIZ
