HealthEdge and Zelis have announced a strategic partnership aimed at modernising the healthcare payment landscape. The collaboration will leverage HealthEdge’s next-generation core administrative processing system (CAPS) and the Zelis Advanced Payments Platform (ZAPP) to enhance the efficiency, accuracy and transparency of healthcare payments.
HealthEdge’s HealthRules Payer (HRP) offers transformational outcomes and business agility for all types and sizes of health plans, built to adapt to evolving consumer demands, regulatory changes, and competitive opportunities.
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By combining the strengths of HRP with the ZAPP platform, the partnership delivers payment processes that maximise member cost savings and streamline payer and provider operations.
Alan Stein, Chief Product and Strategy Officer at HealthEdge, said: “Health Plans have many challenges, including expanding to new markets, adopting value-based care payment arrangements, meeting evolving industry regulations, and more. Plans must maximise member cost savings and streamline the payment process to make it more efficient.”
The collaboration aims to reduce friction and enhance the member and provider experience
The integration of HealthEdge’s modern cloud-based platform with Zelis’ single-hub payments and data solution streamlines workflows, minimises custom code and supports a seamless payment process.
This ensures seamless payment interactions between health plans, providers and members, improving satisfaction and reducing friction.
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By GlobalDataYusuf Qasim, President, Payments Optimisation at Zelis, commented: “ZAPP is the industry’s first integrated payments and communications platform delivering digital conveniences and experiences that benefit payers, providers, and members. In partnership with HealthEdge, we can help resource-constrained health plans modernise their payments experience and seamlessly scale into new markets and reach providers and members without further implementation.”
With the integration of HealthEdge and Zelis systems, health plans will benefit from more efficient and less complex data exchange, reducing administrative burden. The out-of-the-box integration paves the way for an automated payment process that can deliver more value to health plans, providers and members.
