Robust Capabilities to Support Next Generation Health Plan Designs
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Who is Evolutions?
Our passion is to use our past experience in PPO network development to create customized narrow networks designed to provide quality cost-effective healthcare to self-funded employers, their employees and families.
Over the past 29 years EHS has evolved into one of the nation’s largest independently owned PPO networks with regional dominance in the state of Florida. Now, we are taking this expertise in network development to create fully customized networks for Group Health and Workers’ Compensation based on our client’s needs and criteria.
Through our own proprietary software, Evolutions has a solution for all network and repricing needs from contracting through claims handling and repricing. Our software development team has created a robust yet flexible system engine adept at interpreting, calculating and repricing claims based on complex matching protocols and showcasing custom directories that effectively represent the most complex network tiering and benefit designs.
Evolutions provides a comprehensive suite of healthcare management solutions and claims processing services including EDI, customized directories, out of network savings solutions, analysis, reporting and more!