Rivet Delivers Financial X-Ray Vision for Zelis ACH+ Customers

 

Claims Insights_3

Industry leaders collaborate to offer reimbursement clarity & efficiency for provider organizations 

Healthcare finance and reimbursement are notoriously intricate (read: confusing, messy, and hard to manage). Though there is endless data in the revenue cycle, it is disparate, out-of-date, and doesn’t reconcile consistently with each other. Organizations suffer from limited strategic planning because they cannot see their true financial picture: past, present, or future. This opacity leads to negative impacts like lost revenue, re-work, operational inefficiencies, shrinking profitability, cash flow issues, and the viability of sustaining operations.

Until now.

With the introduction of Claims Insights, powered by Rivet for Zelis ACH+ customers, we’re finally shining light and offering clarity where there has been none. This strategic partnership between Zelis and Rivet helps providers visualize and act on payments insights in real time. It’s powered by Rivet’s leading financial diagnostic and revenue acceleration platform, which empowers financial leaders with net revenue clarity for strategic reimbursement management. As part of the enhanced Zelis Payments Network experience, this capability allows providers to gain visibility into their financial performance with insights from 550+ payers through a single, seamless portal.

Directly from the ACH+ portal, Zelis customers will quickly gain access and view the gold standard of their most important metrics down to the claim level including:

  • Payer mix
  • Average time to pay 
  • Gross collection rate
  • Denial rates
  • Recovery rates
  • Claim remit and work RVU volumes
  • Patient responsibility
  • AI-driven suggested denials preventions

This kind of knowledge supports a complete RCM infrastructure to gain the needed answers from the front lines of the revenue cycle team to the CFO presenting in board meetings, and everywhere in between. It’s like having a reimbursement data scientist in their back pocket.

Learn more about how Zelis and Rivet are collaborating to transform healthcare financial management.

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