EQHS

eQHealth Solutions is an innovative population health management company that provides comprehensive technology and service solutions supporting utilization management and care management programs. eQHealth provides third-party administrators (TPAs) and self-insured employer groups with leading-edge population health management technology that can be coupled with utilization management and care management services. eQHealth’s population health management solutions are focused on the ability to proactively manage and optimize member health while significantly improving the financial well-being of the organization. TPAs and self-insured employer groups will benefit from eQHealth’s HITRUST and CMS-certified technology platform, eQSuite®, that promotes clinical integration between disparate stakeholders providing a comprehensive 360-degree view of member health, including social and economic factors. eQSuite® Population Health Management Technology proactively identifies high-risk, high-cost members and populations with its extensive predictive modeling and machine learning capabilities. The system helps guide members to the right care at the right time utilizing integrated evidence-based assessment tools and embedded clinical guidelines. eQSuite® Business Intelligence and Healthcare Analytics Technology delivers hands on access to properly interpreted information providing actionable information supporting advanced predictive modeling & risk stratification initiatives.

https://www.eqhs.com/ebixpartnership

Primary Sales Contact:

Carol Brown
cbrown@eqhs.com

JMS

"JMS and Associates is an information management company that provides resource augmentation services to the health care community. JMS specializes in: Streamlining claims adjudication and auditing, call center management, mailroom and scanning services, data conversion to EDI and system configuration, plan building and testing, and 1099 validation, to name a few of the many services we offer.

With JMS you can…

Handle Fluctuating Processing Needs Regardless of project size, JMS responds quickly and effectively to any requirement and efficiently performs task assignments to handle the peaks and valleys of all aspects of your claim administration process.

Ensure Data Integrity and Security We know how important accuracy is to our clients and have developed strict quality control measures that exceed industry standards. Our commitment is to improve the reliability of your data and provide you with the confidence your claim and related information is accurate and updated in a timely manner. JMS continuously provides the latest in information security technologies that comply with all HIPAA information protection regulations and SOC Audit requirements.

Receive the Support You Need At JMS, we listen to our client's challenges and objectives, and are committed to customer satisfaction every day. JMS customer support is not just a service, it's our philosophy. "

www.jmsassoc.com

Primary Sales Contact:

Chuck Agrusa
jmssales@jmsassoc.com

Phia Geoup

The Phia Group, LLC is an experienced provider of healthcare cost containment techniques offering comprehensive subrogation and overpayment recovery, consulting services, plan document drafting, claim negotiation, balance billing defense, and plan defense, all designed to control costs and protect plan assets. Our mission is to reduce the cost of healthcare through innovative technologies, legal expertise, and focused, flexible customer service. By providing the industry with best practices and staying true to a forward thinking methodology, The Phia Group boasts an all-encompassing cost containment program for the ever-changing healthcare industry.

Primary Sales Contact:

Scott Byerley
sbyerley@phiagroup.com

Planwatch

Planwatch provides a user friendly, web-based reporting, benchmarking, disclosure and plan modeling tool for the payor community using credible data balanced back to internal reports. Planwatch examines historical, current, and future health plan dimensions, integrates, combines and compares pharmacy and medical costs, identifies cost drivers and performance metrics, and provides tested solutions to minimize plan expenditures. Planwatch provides new and enhanced reporting on how network contracts (PPO, RBP, etc.) are being utilized by the covered population and showcasing of additional savings outlets (bill review, discount programs, claim editing etc). A Query Editor with over 150 available fields including coverage areas, POS, procedure codes, network performance produces ad-hoc reports and more by employer, participant or Payor block of business. Enjoy unlimited user access, secure real-time reporting that can be scheduled or run anytime from anywhere.

Primary Sales Contact:

Georgeann Seuffert
234.542.3030

WEX

For third-party administrators, WEX Health provides the depth and breadth of functionality and deployment options that no other solution can offer. With WEX Health Cloud, TPAs gain a proven web-based technology platform that administers consumer-driven healthcare accounts including HSAs, HRAs, FSAs, VEBAs, COBRA, defined contribution, wellness, and transit plans. Combined with our web portals, debit cards and mobile app, consumers have multiple ways to access and spend their funds. The WEX Health Cloud platform currently helps over 390,000 employers and 32 million consumers better manage healthcare expenses.

https://www.wexinc.com/solutions/health-cloud/

Primary Sales Contact:

Emily Tate
etate@wexhealthinc.com

Zakipoint Health

"Employers and employees are looking for ways to save on healthcare costs. You need to quickly help CFOs save on healthcare costs leveraging actionable insights, and promote appropriate healthcare providers to members e.g., telemedicine to risky members of the population. Not an easy challenge to overcome.

Zakipoint Health (ZPH) helps TPAs to integrate their customers' healthcare data into one place to radically change the way you show cost saving opportunities, and promote these opportunities to the right members at the right time e.g., use mail order medication instead of retail Rx, or telemedicine service instead of ER, preferred provider with lower costs and higher quality, or close a gap in care. And do it with a simple mobile experience that connects the member and drives change.

With us, employers are identifying 15% worth of cost savings and getting 50% higher usage of programs and incentives by members. Be ready for the change. Learn more about how you can solve this challenge here. "

https://portals.sharekits.com/

Primary Sales Contact:

Dipali Dey
dipali.dey@zakipointhealth.com

Zelis

"Zelis is the healthcare industry’s leading claims cost and payments optimization platform with superior technology and solutions to price, pay and explain claims, all at enterprise scale on a claim-by-claim basis. Zelis leverages proprietary technology, robust analytics, extensive payment and provider networks, and innovative claim savings channels to deliver administrative and medical cost savings. Zelis was founded on a belief that there is a “better way” to determine the cost of a healthcare claim within a pre-payment environment, manage payment related data, and make the claim payment. Zelis has over 1,000 associates who serve more than 700 payor clients, including TPAs, Health plans, and self-insured employers, and more than 1.5 million providers, delivering more than $5B of claims savings, $50B of provider payments and 500 million payment data communications annually. Partner with Zelis today to ensure appropriate reimbursement of care and maximized savings."

Primary Sales Contact:

William G. Schneider, Sr.
William.Schneider@zelis.com

Contact information

To schedule a live demo or to request pricing information, please contact us or simply submit the contact form.

Ebix Health, 1 Ebix Way, Johns Creek, GA 30097
Toll Free: (800) 872-7848
Email: ebixhealthsales@ebix.com

Ebix Health is a leading provider of consumer health information and benefits management solutions for some of the world's largest insurance carriers, third party administrators (TPAs) and self-administered organizations, benefits brokers, employers, healthcare organizations, and educational institutions.