New capability gives providers actionable intelligence to elevate revenue cycle efficiency

Zelis, a leading provider of healthcare technology solutions, today introduced Claims Insights, a first-of-its-kind capability built to help providers visualize and act on payments insights. It is powered by Rivet’s leading financial diagnostic and revenue acceleration platform, which empowers financial leaders with net revenue clarity for strategic 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.

Providers can now identify denial root causes, analyze accounts receivable (AR) trends, and track payment velocity across their payer mix in real time. Unlike traditional reporting tools, Claims Insights offers intuitive dashboards that make complex payment data easy to understand and act on. With this visibility, providers can customize denial reports, pinpoint top sources of underpayments, and uncover process improvements to help prevent future denials.

For years, providers have struggled with gaining insight into financial performance, having to reconcile data across fragmented systems — none of which reflect true payments data. This inefficiency limits financial clarity and risks lost revenue. Claims Insights changes that, giving providers real-time access to the financial metrics that matter most.

“Claims Insights marks the beginning of an exciting new chapter in our journey to transform the provider payments experience,” said Yusuf Qasim, President, Payments Optimization at Zelis. “By delivering real-time, actionable intelligence where it matters most, we’re not just solving today’s revenue cycle challenges—we’re laying the foundation for what’s next. This is the first of many innovations to come as we continue to invest in capabilities and partnerships that simplify workflows, address pain points like staffing shortages, and build a connected community that works together to fix the frictions that exist within healthcare finance.

Rivet is a powerful revenue analytics platform that enables accurate forecasting, pinpoints revenue leakage from denied claims, and uncovers growth opportunities. The AI-powered dashboards provide clear visibility into how claims activity impacts the bottom line.

"Understanding financial performance should be simple," said Ted Ferrin, Rivet CEO. "Yet many providers struggle with incomplete insights and reconciliation challenges, making it difficult to pinpoint areas for improvement. Together with Zelis, we are fundamentally changing that, delivering unmatched visibility into key financial indicators to ensure providers take the right actions to optimize revenue and streamline operations."

Learn more about how Claims Insights is transforming healthcare financial management today.

About Zelis

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Learn more at Zelis.com and follow us on LinkedIn to get the latest news.

About Rivet

Rivet, healthcare's leading financial diagnostic and revenue acceleration platform, protects provider revenues while delivering industry-renowned transparency on everything from payer contracts, preventing denials, forecasting net revenue, and patient-facing healthcare prices. As a purpose-built financial operating system for healthcare providers, Rivet empowers financial leaders with reimbursement clarity for strategic management. Rivet also serves administrative teams with sophisticated tools to manage, benchmark, and negotiate payer contracts, as well as auto-detect payment variances, handle delinquent claims, quickly recover revenue after wrongful denials, and deliver HIPAA compliant good faith estimates to patients to facilitate upfront payments. As a partner-agnostic platform, Rivet seamlessly interacts with and complements all EHRs and claims management platforms. Based in Salt Lake City, Utah, Rivet believes provider organizations deserve more from their revenue cycle tools and is offering a platform that “levels the paying field” between providers, patients, and payers for an elevated and harmonious financial experience. For more information, please visit rivethealth.com.

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