Healthcare payments company Zelis announced an agreement to acquire Sapphire Digital, a provider selection, patient access, price transparency and digital consumer navigation platform for healthcare. health, according to a Press release.
“There is a clear need in the market for innovative price transparency solutions and digital navigation tools, now more than ever given the requirements for payers set out in the No Surprises Act and the Transparency of Coverage Rule. Said Zelis Chief Revenue Officer. Patrick o’keefe in the output. “We believe Sapphire’s platform is unmatched in the industry, as evidenced by its extensive membership reach and impressive roster of leading health plans, APTs and self-insured employers.”
The acquisition will help customers more easily “harmonize the entire healthcare payment process by fixing, paying and explaining healthcare”, CEO of Zelis Amanda Eisel said in the press release.
The acquisition will help Zelis streamline operations by “integrating Zelis’ payment and communications capabilities with Sapphire’s consumer navigation tools,” Eisel added in the statement.
CEO of Sapphire Digital Kyle raffaniello In the statement, companies “have tackled some of the toughest challenges in healthcare”.
In 2019, Zelis merged its payment systems with those of RedCard Systems to create a healthcare optimization platform.
Read more: RedCard and Zelis merge to optimize healthcare payments
The platform planned to use corporate technology to price, pay, and explain claims. The companies worked together with 700 paying clients, which included the five major national health plans as well as around 600,000 providers.
So-CEO Doug klinger said the goal was “to deliver deeper electronics penetration, best-in-class claims cost reduction performance, and a transformational billing and payment experience, all to the benefit of payers, providers and consumers. “.
Joe DiMartini, then CEO of RedCard, said the partnership combined “the three critical activities along the payment value chain: the payment data platform or the software ‘brain’ to manage and communicate payment data, a very attractive payment network and payment execution technology; and proprietary process technology and expertise to organize every step necessary to efficiently and effectively process a complete payment file from start to finish.