|[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.
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 (News - Alert) 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
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
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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