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Newly Named Zelis Healthcare Introduced to Healthcare Community, Offers Integrated Suite of Claims Cost Containment and Payments Technology

06/13/2016


Four Best in Class Companies Combined Into Leading Provider of Pre-Payment Through Payments Technology and Solutions

BEDMINSTER, NJ and ATLANTA, GA, — Zelis Healthcare today announced the launch of its new corporate brand.  Zelis Healthcare leads the industry with innovative technology and solutions that address the complex payment-related needs of its clients.

Zelis Healthcare delivers a powerful and unique end-to-end technology platform addressing the claims cost containment and payments needs of healthcare payors including large and medium-sized health plans, TPAs, Taft-Hartley Plans, providers and patients. The company provides a comprehensive array of network management, claims integrity, payment remittance solutions and analytical services for medical, dental and workers’ compensation claims to over 500 payor clients. In addition, the company delivers electronic payments and explanation of payments to over 200,000 healthcare providers and serves patients with provider lookup and medical referral services.

“Our new name, Zelis Healthcare, is a reflection of our zeal to deliver exceptional value,” said Doug Klinger, Chief Executive Officer. “The name is based on four attributes that partners and clients consistently use to define our organization. We are known to be genuine in our partnerships, tenacious in the pursuit of solutions that deliver client value, impassioned about producing results that exceed expectations, and innovative in our approach to fulfilling client needs. With our four companies united as one company and brand, we can deliver greater efficiencies and savings, more actionable insights, and even greater results,” Klinger added.

The foundation of Zelis Healthcare is four best-in-class companies, each with leading capabilities in their respective niches: Premier Healthcare Exchange (PHX), Stratose, Pay-Plus® Solutions (PPS) and GlobalCare. The announcement of the new brand underscores the powerful combination of these complementary businesses to create a single company offering an end-to-end platform spanning network management, claims integrity, payment remittances and analytical services for medical, dental and workers’ compensation claims.

The company also unveiled a new corporate structure that links three operating divisions: Network Solutions, Claims Integrity, and Payments. Each division will be led by senior executives from the merged companies.  Tina Ellex, who served as President of Stratose, has been named President of Network Solutions; Lori Sempervive, a founding member of PHX and the company’s former Chief Operating Officer, has been appointed President of Claims Integrity; and Jay Ver Hulst, Co-Founder and former President of Pay-Plus Solutions, has been tapped as President of Zelis Payments.

Zelis Healthcare is led by its executive team, including Klinger, Ellex, Sempervive, Ver Hulst, Chief Revenue Officer Terry Harris, Chief Information Officer Meridith Herdes, Chief Financial Officer Robert Hemmer, Chief Marketing Officer Leo Garneau and Chief Human Resource Officer Matt Hintz.  “Our leadership team, organizational structure and Company vision has been designed to take the best of our existing capabilities and add additional resources, expertise and talents so we can maintain our intense focus on our clients while continuing to lead the industry with innovative technology and solutions,” Klinger added.

About Zelis Healthcare
Zelis Healthcare (www.zelis.com) delivers a powerful and unique end-to-end technology platform addressing the claims cost containment and payments needs of healthcare payors including large and medium-sized health plans, TPAs, Taft-Hartley Plans, providers and patients. The company provides a comprehensive array of network management, claims integrity, payment remittance solutions and analytical services for medical, dental and workers’ compensation claims to over 500 payor clients. In addition, the company delivers electronic payments and explanation of payments to over 200,000 healthcare providers and serves patients with provider lookup and medical referral services. Zelis Healthcare is a leader in new product innovation and technology development with a long track record of successfully addressing the complex needs of the healthcare community.