We are not your typical PPO
Safe Harbor Networks for Referenced Based Solutions
Narrow networks that work well with referenced based health plans. We provide a safety net of providers for your members.
Customized Networks for Health Systems and Community Health Plans
Back Office Solutions to help Health Systems market their own network to Payors and Employers
Tailored Networks for Employers
The perfect fit: Direct provider relationships to help employers control costs.
International Network
For payors managing travelers/extended stay visitors within the United States, Puerto Rico and the US Virgin Islands
Workers’ Compensation Network
Network coverage for worker’s compensation claims
Group Health Networks
Primary
Secondary/Travel Wrap and
EOB Networks
Robust Capabilities to Support Next Generation Health Plan Designs
Employer Specific Provider Directories
Our customized directories help members find the right provider and maximize their healthcare benefits through upfront identification of Tiers, differences in benefits etc.
Powerful Customization Capabilities
Tiered Benefit Plan Design?
Narrow Network?
We can do it all!
Total Back Office Support
Full service back office solution for regional or hospital based networks from contract management to claims repricing and customer service.
Contract Management
Contract Delivery and Tracking
Credentialling and demographic data collection
Provider Outreach and Education
Who are you?
Member
Looking for a provider?
What can your network do for you?
Employer
How to take control of your healthplan
Provider
Come join our network!
TPA, Agent or Consultant
Let's work together!
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!