Zelis to buy Payer Compass for claims management

Healthcare payment and pricing company Zelis is set to acquire the Payer Compass reimbursement and claims platform in a bid to streamline the claims management process, according to a Monday 1st press release. august.

Zelis and Payer Compass “will leverage cutting-edge technologies and best-in-class approaches to create referral-based underwriting solutions to manage the rising cost of healthcare claims for customers and their members,” the statement said. .

The transaction is expected to close in the third quarter, according to the release. The terms of the contract are not disclosed.

Zelis CEO Amanda Eisel said in the statement that the acquisition will help the company in its mission to make healthcare more affordable and transparent.

“Through our combined assets, we will have the people, technology and shared energy to generate more savings for our customers and continue to have a positive impact on the rising costs and complexity of healthcare,” a- she said, according to the statement.

Last September, Zelis announced an agreement to acquire Sapphire Digital, a provider selection, patient access, price transparency and digital consumer navigation platform for healthcare. The goal was to make it easier for customers to “harmonize the entire healthcare payment process by pricing, paying and explaining healthcare,” Eisel said at the time.

Read more: Healthcare payments company Zelis buys Sapphire Digital

The acquisition was to help Zelis streamline its operations by “integrating Zelis’ payment and communication capabilities with Sapphire’s consumer navigation tools,” Eisel said at the time.

In 2019, Zelis merged its payment systems with those of RedCard Systems to create a healthcare optimization platform.

See more : RedCard and Zelis merge to optimize healthcare payments

The platform planned to use the companies’ technology to rate, pay and explain claims. The companies worked together with 700 paying customers, which included the five major national health schemes as well as around 600,000 providers.

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