Case Study: AmeriBen achieves billions in savings and membership growth with Zelis

AmeriBen partners with Zelis to adopt innovative solutions that increase revenue and maximize cost management

AmeriBen Solutions, a third-party administrator serving more than 100 self-funded employer groups and fully insured university plans, needed to improve revenue growth, payment integrity, and cost management while keeping pace with changing client demands and evolving regulations. Working with Zelis, AmeriBen Solutions adopted solutions including a Medicare Pricing Solution, claims editing, out-of-network support, hospital bill review, and No Surprises Act compliance tools.

Zelis helped AmeriBen Solutions build an integrated portfolio that included ClaimPass for out-of-network claim optimization and legislative support to adapt to the No Surprises Act and transparency rules. The partnership delivered major savings, including more than $727 million saved by the Medicare Pricing Solution in 2021 and total gross savings of $734,590,195 that year, up 36% from 2020, helping AmeriBen Solutions surpass one million lives administered.

Ameriben Solutions

Eric Channer

Chief Financial Officer