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Price Optimization QuickReprice API

Achieve swift claims adjudication in your system with the Price Optimization 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 customizations. 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 the Facets and Qnxt adjudication systems and supported by Cognizant. 

API Overview

Streamlined claims adjudication

Zelis innovation leverages technology and industry expertise to ensure Price OptimizationQuickReprice 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 Price OptimizationQuickReprice API supports quick, accurate claims adjustment to streamline operations and remove user pain points.

Advantages Breakdown

  • Faster claims fulfillment
  • More billing transparency
  • Reduced customer service calls
  • Faster billing error correction

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