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TMCNet:  Zelis™ Payments Becomes the First Electronic Reimbursement Solution to Participate in EnrollHub®

[October 04, 2016]

Zelis™ Payments Becomes the First Electronic Reimbursement Solution to Participate in EnrollHub®

Zelis™ Payments, a division of Zelis™ Healthcare, announced today that it is the first electronic reimbursement vendor to participate in EnrollHub®, the EFT/ERA enrollment solution by the non-profit alliance CAQH. EnrollHub enables healthcare providers to enter their EFT enrollment information into a single, secure, online utility and select the payers from whom they wish to receive electronic payments. Providers participating in EnrollHub will now be able to quickly and easily submit enrollment requests for Zelis Payments, giving them access to hundreds of healthcare payers not currently within the solution.

"Historically, smaller payers such as TPAs, self-insured plans and Taft-Hartley funds have not been part of the EnrollHub participating payer mix because they may not have the electronic connections to deliver EFT/ERA transactions." said Robin Thomashauer, Executive Director of CAQH. "The participation of electronic reimbursement services such as Zelis Payments means that healthcare providers who are now receiving paper checks or virtual cards can convert to EFT and ERA from more of these payers, helping further adoption of electronic healthcare transactions."

"We're excited about this opportunity because, like CAQH, we are dedicated to administrative simplification in healthcare. EnrollHub gives us an important channel to connect the payers we represent to providers who are interested in automating their payment and data processing," commented Doug Klinger, CEO of Zelis Healthcare.

Zelis Payments serves an important function in the ongoing effort to promote EFT/ERA adoption. "Providers are more likely to enroll with payers from whom they receive a higher volume of transactions. Conversely, providers are unlikely to accept 835s from payers who represent a lower volume of transactions, but collectively may represent a large number of groups," said Jay Ver Hulst, President of Zelis™ Payments. "We represent hundreds of these payers and manage those connections on the provider's behalf, eliminating the need to directly manage connections with individual payers and each of the numerous payer groups they represent."

Additionally, Zelis Payments' VRA® (Virtual Reimbursement Account) product automatically settles payments into the provier's account, delivers 835 files via a provider-selected method such as a download, FTP or clearinghouse and streamlines data handling by aggregating all payer data into a single 835 file.

"We recognize the constraints of smaller payers and understand the role that Zelis Payments and similar services play in facilitating electronic payments and remittance advice," said Thomashauer. "Including this new option within EnrollHub will make it easier for CAQH to further its goal of enabling more providers to switch to EFT/ERA."

Providers can submit their enrollment requests for Zelis Payments through EnrollHub at www.caqh.org/solutions/enrollhub. To learn more about VRA or to find out which payers are represented by Zelis Payments, providers can visit www.zelispayments.com or call Zelis Payments membership enrollment department at 855.496.1571.

About Zelis™ Healthcare

Zelis Healthcare (www.zelis.com) is the brand name for Premier Healthcare Exchange, Stratose, Pay-Plus® Solutions and GlobalCare, which merged in 2016 forming a healthcare information technology company and market-leading provider of end-to-end healthcare claims cost management and payments solutions including network management, claims integrity and electronic payments serving more than 500 healthcare payor clients, more than 200,000 healthcare providers and millions of healthcare consumers in the medical, dental and workers' compensation markets nationwide.

About Zelis™ Payments

Zelis™ Payments, a division of Zelis™ Healthcare, is a leading healthcare payments technology solution dedicated to delivering value via exceptional client experiences. Our solutions facilitate regulatory compliance and streamline the transfer of healthcare payments and data. Zelis Payments is a payments exchange that connects payers with healthcare service providers - consolidating payments and aggregating data into one simple daily electronic file.

About VRA®

VRA® is an efficient way to maximize the payment process for practices, facilities or health systems. VRA enables providers to receive automated electronic payments from payers who would normally send paper checks. By enrolling in VRA with Zelis Payments, providers gain efficiencies which may help you reach a new level of productivity. VRA offers a choice of direct Automated Clearinghouse (ACH) payments or payments that flow through the MasterCard network, both of which directly settle into the provider's account as ACH-CCD+. The ACH aspect of VRA is CAQH CORE® certified, which ensures settled payments and data comply with ACA and HIPAA standards and operating rules.

About CAQH

CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of business processes, delivering value to providers, patients and health plans.

About EnrollHub®

EnrollHub® is a CAQH Solution that combines enrollment capabilities for electronic funds transfer (EFT) and electronic remittance advice (ERA), enabling healthcare providers to use a single, secure on-line process to sign up for electronic payments with multiple health plans at once.


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