As No Surprises Act rules tighten, Zelis expands AI role in dispute process
Zelis has launched an AI-powered platform, Zelis NSA Claim Advantage, to help payers manage the increasing volume of disputes and new compliance requirements under the No Surprises Act. This move comes as federal regulators implement changes to improve the arbitration system, creating new administrative burdens for payers. However, Zelis also faces scrutiny and antitrust allegations regarding its influence on out-of-network payment rates, raising broader questions about AI's role in reimbursement disputes.
https://www.techtarget.com/healthcarepayers/news/366645008/As-No-Surprises-Act-rules-tighten-Zelis-expands-AI-role-in-dispute-process