Search Claims
Allow users to search digital claims information securely on your platform.
QuickReprice
Achieve swift claims adjudication in your system with the QuickReprice API. Zelis designed this tool to capture all savings opportunities. Enjoy fully automated and accurate claims editing, Out-of-network pricing, NSA/State pricing, and expert claim review. Which can be enhanced for specific client needs and customization. Zelis merges innovative technologies with a team of healthcare professionals to ensure precise claim review. Utilize the seamless integration of post-adjudication with a pre-payment interface built with Facets and QNXT, supported by Cognizant, along with multiple adjudication systems such as HealthEdge, Beacon/Spyglass, WLT, VBA, and Illumifin, ensuring smooth workflows.
API Overview
Streamlined claims adjudication
Zelis innovation leverages technology and industry expertise to ensure QuickReprice is an entry-point for accuracy-driven savings. QuickReprice handles all updates, reviews claim lines against patient and provider histories, and cross references claims with paid history data–all for precise claims management.
What to Expect
Why Zelis?
Zelis modernizes healthcare financial experiences through data-driven technology, and our APIs simplify everyday healthcare experiences for your users. The QuickReprice API supports quick, accurate claims adjustment to streamline operations and remove user pain points.
Use Case
Simple claims adjudication
Learn how Malike uses the CCS QuickReprice API to improve the typically slow, and frustrating claims adjustment process.
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