Zelis Reviews

Partnership, Zelis is willing to listen and take criticism which help each other grow. Zelis provides great feedback where both parties can continue to grow and navigate the TPA space

Sometimes it feels like Zelis is going to out grow the industry which could make the partnership erode

Faster payments to provides which leads to lowe volume of provider calls

Tackling the world of creative billing to ensure TPA clients are getting to the lowest cost spend within industry standards

They have effective and efficient solutions that meet our business needs.

Nothing to dislike abou Zelis. They meet all of our business needs and are continually developing their products to remain relevant.

Keep continue to do what you do and continue to have these forums.

ACH MEMBER AND PROVIDER PAYMENTS AND Out-network post adjudication rates. This is a great support for our organization

Zelis has a lot of great product offering. We appreciate their innovative ideas and solutions to the industry. Very impressive with the native wallet and super curious about the zchecks to come!

Service is terrible. No sense of urgency to clients needs. Account Rep doesn't reply to emails or calls. Rep needs additional support. Follow thru is lacking, and ultimately leaving clients to figure it out on our own

Helping with the digital ID card. Our company doesn't have that yet and this will help bridge that gap while we find a partner to build this for us. We've had a lot of folks asking for this and this is an exciting launch for us to take part of!

They are prompt when responding to issues. And they listen to our concerns

Nothing yet that I can think of but I am sure later I can

Zelis solves our issues with repricing hospital claims

Our contacts are always readily available

Bill audit review can take time to process.

Wrap network solution as well as our bill audit review process. Both help our clients to get the better discounts on their health plan

Zelis is ahead of the game. They are always finding ways to make the member and provider experience better. They product team shows the innovation the company wants.

Their client and customer service is what is lacking. While they do any amazing job on products for member and providers, Zelis needs to start focusing on their clients needs and demands. Customer Sevice needs to be focused on, it's shortfall is prevent further implementation of new products in fear of their customer service.

Solving the streamline of EOBs and ID cards to our members and providers.

The number of services and ability to address organizational needs.

The complexity that comes with our setup.

Program Integrity

Ease of use. Quick and easy to find and download eobs.

You can't download them as ERAs so it all has to be posted manually into system after downloading eobs.

If it can be downloadable as an ERA file so that it can be automatically posted to the accounts in our system that would make posting payments so much faster!

Finding breakdown of payments so they may be posted appropriately in our system.

There are many service options to choose from, but sometimes, it seems to be too many. Their payment services are terrific and easy to use, but adding in all other options becomes overwhelming.

There are many processes with rigid rules that are difficult to work around. My system is very detailed and functions to fit the needs of my clients, so there are times when I cannot accommodate the requirements.

Payment solutions are the first that comes to mind, some pricing issues as they arise but not consistently. I know there may be other solutions, but the time it takes to figure out what works best is out of my ability.