Electronic Health Plans is a growing company focusing on the
automation of health care benefits administration. EHP offers a
fully integrated Managed Care administration system with services
including claims processing and payment, encounter processing and
Medical Management.
The company uses its proprietary claims processing technology to
provide superior managed care administration services to large health
plans. Our services are performed at substantially lower costs than
found in the industry, while achieving the highest audit results for
our customers.
In 2003, Congress passed the Medical Modernization Act, which in
addition to providing prescription drug benefits to seniors, has
resulted in new information technology standards to improve the
interoperability of claims information. There is visible dialogue in
the political arena about improving the quality and lowering the cost
of healthcare through better information technology, data processing
and more efficient services, and those are specifically the things that
Electronic Health Plans does well.
Managed Care & Healthcare Claims Processing Services
Who Uses Our Services?
EHP products serve organizations administering health care and dental care plans including:
Managed Care Administration
Indemnity Plan Administration
Dental Plan Administration
Third Party Administrators (TPA)
Preferred Provider Organizations (PPO)
Health Maintenance Organizations (HMO)
Independent Practice Associations (IPA)
The Benefits of Using our Claims Auto-adjudication System.
EHP is distinguished by its unique claims processing engine which
can auto-adjudicate over 95% of all medical claims (not just 99%+
of "simple" claims as other systems advertise). Its
built-in capabilities include:
Plan Benefit Administration
Claims Processing
Coordination of Benefits
Pricing and Repricing
Capitation and Risk Management
Refunds and Adjustments
Subrogation
EHP's innovative health and dental care benefits administration
provides HIPAA compliance for all facets of plan management. It
supports management's needs including:
Electronic Health Plans is a growing company focusing on the
automation of health care benefits administration. EHP offers a
fully integrated Managed Care administration system with services
including claims processing and payment, encounter processing and
Medical Management.
