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What is Zelis?

Build, enhance, maintain, and promote your network using a cohesive platform that integrates all necessary functionalities. Leverage competitive intelligence to strengthen your position in the market effectively. Streamline and standardize provider information to make searches more user-friendly. Assess network performance through key metrics such as accessibility, cost, and quality. Offer engaging and feature-rich solutions that enhance the provider search experience. Develop a more profound understanding of your network's financial performance. Create and refine networks that are not only competitive and accessible but also deliver superior value to attract market share and address your members' needs. Keep an eye on competitor strategies and market trends to refine your network approach, identify the best providers for maintaining competitiveness, and highlight the strengths of your network. Simplify the management of your provider directory, plan design, and benefit consulting by utilizing faster and more reliable provider network data. Tailor networks to align with each client's unique goals, risk preferences, and desired provider access, ensuring a holistic approach to network governance. This comprehensive array of features not only boosts operational efficiency but also reinforces your market standing, ultimately leading to sustained growth and innovation. With such a robust platform, you can confidently navigate the complexities of network management while focusing on delivering value to your clients.

What is Veradigm Payerpath?

Veradigm Payerpath provides an extensive range of revenue cycle management tools aimed at improving the financial health of healthcare institutions by fostering better communication with both payers and patients, which in turn boosts profitability for practices of all sizes and specialties. The platform effectively tackles challenges such as incomplete data, erroneous coding, and input mistakes, ensuring that claims are lodged accurately and without issues. It further confirms that submissions are free of errors and missing information, optimizing the claims process. Moreover, through sophisticated analytical reporting, healthcare practices can compare their performance against local, national, and specialty benchmarks, helping them enhance their productivity and financial results. Additionally, Veradigm Payerpath assists in reminding patients about upcoming appointments while verifying their insurance benefits and coverage, simplifying the overall process. The system also automates the collection of patient responsibilities, making financial management more straightforward for practices. Importantly, the integrated solutions of Veradigm Payerpath are compatible with all major practice management systems, enhancing its adaptability across diverse healthcare environments. This compatibility not only increases its utility but also allows healthcare providers to devote more attention to patient care while effectively handling their financial processes. As a result, Veradigm Payerpath emerges as a crucial asset for healthcare organizations striving for operational efficiency and improved financial health.

What is PlanXpand?

PlanXpand™ is a cutting-edge transaction processing engine crafted by Acero, designed to support all products tailored for health benefits administrators. This innovative system empowers clients to adopt Acero’s solutions either in full or incrementally, providing them with the versatility to fit their unique operational needs. In addition to choosing from a comprehensive selection of standard products, administrators are encouraged to leverage PlanXpand™ to develop customized solutions that enhance their existing system functionalities. Acero stands out with its distinctive, integrated offerings that utilize a Service-Oriented Architecture, allowing health benefits administrators and insurers to seamlessly expand their current adjudication platforms with added features and capabilities. The sophisticated design and engineering behind our solutions enable real-time adjudication for all types of claims, which directly interfaces with the core claims system, enhancing processing accuracy, boosting customer satisfaction, and minimizing the need for claims adjustments. This remarkable adaptability and meticulous precision in claims processing not only enhances operational efficiency but also reinforces Acero’s position as a frontrunner in the health benefits administration industry. Ultimately, our commitment to innovation ensures that clients can navigate the complexities of health benefits management with confidence and ease.

Media

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Zelis

Date Founded

2016

Company Location

United States

Company Website

www.zelis.com

Company Facts

Organization Name

Veradigm

Date Founded

2018

Company Location

United States

Company Website

veradigm.com/payerpath-provider-payer-solutions/

Company Facts

Organization Name

Acero Health Technologies

Company Location

United States

Company Website

acerohealth.com

Categories and Features

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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