Zelis
11 Case Studies
A Zelis Case Study
Ameriben Solutions, a third-party administrator, sought to increase revenue growth, ensure payment integrity, and maximize cost management across its product offerings. To meet this challenge, they partnered with vendor Zelis to adopt its innovative solutions.
The solution implemented by Zelis included a suite of products such as Claims Editing, Out-of-Network Solutions, and a Medicare Pricing Solution. This long-term partnership provided Ameriben with the tools and legislative knowledge to ensure compliance with new regulations like the No Surprises Act. The results were substantial, with Zelis's Medicare Pricing Solution alone saving Ameriben's clients over $727 million in 2021.