Zelis Healthcare Announces Participation in EnrollHub

CLEARWATER, Fla. (October 6, 2016)—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, Council for Affordable Quality Healthcare (CAQH). EnrollHub enables health care 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 health care 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 health care 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 health care transactions.”

“We’re excited about this opportunity because, like CAQH, we are dedicated to administrative simplification in health care. EnrollHub gives us an important channel to connect the payers we represent to providers who are interested in automating their payment and data processing,” said 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’ Virtual Reimbursement Account (VRA) product automatically settles payments into the provider’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.”

Visit zelispayments.com for more information.