Zelis
6 Case Studies
A Zelis Case Study
ACS Benefit Services, a full-service third-party administrator based in Winston-Salem, North Carolina, wanted to improve bill review, editing, and claims auditing for its clients while streamlining internal operations and increasing savings. The company evaluated options and chose Zelis as a partner that could support its mission, provide strategic guidance, and help navigate changing healthcare regulations, using solutions such as claims editing and related administrative services.
With Zelis, ACS adopted more than 10 solutions including Claims Editing, DOCS® for member communications and ID cards, Payments, and No Surprises Act support. The partnership helped ACS achieve a 99.6% claims processing accuracy rate, utilize nearly 90% of recommended edits, convert more than 300,000 paper payments to electronic formats, and generate more than $13 million in gross savings for clients since 2018, while also improving flexibility, speed, and regulatory readiness.
Beverly Proctor
Chief Operating Officer