Closing the circle between

Providers, Payors and

Patients

WHO IS EVOLUTIONS HEALTHCARE SYSTEMS?

Over the past 25 years EHS has evolved into one of the nation’s largest independently owned PPOnetworks with regional dominance in the state of Florida. EHS has taken this expertise in networkdevelopment to create fully customized networks for Group Health and Workers’ Compensationbased on our client’s needs and criteria.

Through our own proprietary software Evolutions has a solution for all network and repricingneeds from contracting through claims handling and repricing. Our software development teamhas created a robust yet flexible system engine adept at interpreting, calculating and repricingclaims based on complex matching protocols and showcasing custom directories that effectivelyrepresent the most complex network tiering and benefit designs.

Evolutions provides a comprehensive suite of healthcare management solutions and claimsprocessing services including EDI, customized directories, out of network savings solutions,analysis, reporting and more!

YOU ALREADY HAVE A LOT TO DO LET EHS MANAGE THE NETWORK FOR YOU

WE CAN: Handle the entire contracting process

Provider Outreach and EducationContract delivery and tracking up

through execution

Credentialing and Scanning of all

contracts and relevant

documents

Demographic collection and

continuing maintenance

Network

Development Team

YOU ALREADY HAVE A LOT TO DO LET EHS MANAGE THE NETWORK FOR YOU

WE CAN: Manage contracts

Medicare Based, % of

savings or proprietary fee

schedule contract terms

Varying rates within the

same Tax ID

Support for varied

network configurations

(Provider Tiering etc.)

Legal Compliance

Flexible

Database

YOU ALREADY HAVE A LOT TO DO LET EHS MANAGE THE NETWORK FOR YOU

WE CAN: Work with multiple payers and their plan designs

Creation and Management of

EDI Bridges including code

crosswalk for ease of

adjudication

Secure ftp hosting

Manage wrap network

solutions if needed

Act as payor portal to

minimize time to process

Fully Integrated

Repricing Engine

YOU ALREADY HAVE A LOT TO DO LET EHS MANAGE THE NETWORK FOR YOU

WE CAN: Provide Customer Service

Payors Providers

Patients YOU

Concierge

Customer Service

YOU ALREADY HAVE A LOT TO DO LET EHS MANAGE THE NETWORK FOR YOU

WE CAN: Provide feedback on network performance

Gap Analysis Claims Analysis

Payor Utilization Customized Reports

Reporting and

Analytics

YOU ALREADY HAVE A LOT TO DO LET EHS MANAGE THE NETWORK FOR YOU

WE CAN: Provide Payor and Prospect Support

Host Customized

DirectoriesExport Demographics

Geo Analysis RFP Support

Robust IT

Services

LET US CLOSE THE CIRCLE FOR YOU

Employer

Health System

Or

Community

Providers

Members

TPA’s

Managed Care Solutions for the benefit

of Everyone