EHP Services

Electronic Health Plans brings innovative technology to the administration of all types of benefit plans. EHP performs medical management services and processes medical claims and encounters for large managed care customers. Our EHP Administrators division services Medicare, Medicaid, and commercial customers. Our system integrates claims administration with the medical management aspects of Managed Care, including case control, prior authorizations and referrals.

Our services include utilization management, quality management, case management and regulatory compliance. We also provide web-based referrals and authorizations. EHP Administrators performs these services for our clients at a lower cost than our competitors, while receiving superior results from external audits conducted by the State of California and large health plans.

Our Services also extend across the Broader Spectrum of Customer Needs:

	Utilization Management – We evaluate care across both outpatient and inpatient services, and we identify the opportunities for preventive care, health care management and case management.
	Quality Management – We examine many dimensions of performance, including access to care, timeliness, safety and risk identification.
	Medical Management – Rooted in both medical care management and quality of health care delivery, our medical management program focuses on assuring continuity of care and controlling costs. We work collaboratively with health care providers to assess and plan for the care of patients with serious, catastrophic, or chronic illnesses.
	Regulatory Compliance – Our technology is HIPAA compliant. We provide the reporting necessary to comply with all government regulations, and we provide monthly compliance and timeliness reports for each contract.
	Referrals and Authorizations – EHP provides web-based referrals and authorizations online to give our customers more efficient tools for use by their affiliated medical care providers.