PYMNTS.com March 26, 2024

Healthcare technology firm Zelis has introduced an in-network pricing/contract modeling service for health plans.

“The addition of this solution further solidifies the company’s position to help health plans understand and proactively navigate claim pricing, processing and financial impacts resulting from contract changes,” Zelis said in a news release Tuesday (March 26).

“Rounding out the company’s full-service claim-pricing suite, health plans can now benefit from a comprehensive solution set that enhances precision and transparency in contract claim pricing and comparative modeling,” the release added.

According to the release, the solution offers a “clear expectation of cost,” so that health plans can more accurately price contracted claims. It also provides access to Zelis’ library of pricing methodologies, letting health plans...

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Topics: Healthcare System, Insurance, Patient / Consumer, Payer, Pricing / Spending, Provider
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