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Problem: In the early 90’s healthcare providers were not being paid in a timely fashion for the medical services rendered. Many of the issues could be attributed to the laborious claims processing systems implemented by most payers during this time.
Solution: As a result, one of the first fully-integrated, automated claims workflow systems was developed and Ecom was born.
In 1998, Ecom PPO Advisors set out with a new strategic direction to deliver unprecedented primary PPO savings, selection analysis and streamlined network administration. In particular, this revolutionary focus substantially minimizes health insurance payers’ out-of-network claims or “white space,” navigates customers to the best-fit primary PPOs and shifts the paradigm for healthcare and its affordability for everyone.
Timeline:
• 1998 – Ecom inception under the name Ecom Benefits
• 2000 – Ecom becomes Ecom PPO.com, Inc.
• 2002 – The Dallas Business Journal ranked Ecom PPO.com, Inc. sixth
overall on their annual DBJ Fast Tech 50 List
| o | Dallas-based Ecom, which provides services for managed care plans for insurance carriers and large employer groups, enjoyed a 2,894% revenue growth from 1998 - 2001. Ecom’s success is fueled by their revolutionary Virtual PPO SM concept which merges on-line technology with patient-based information. Ecom clients average increased managed care savings of $2,000 per hour through deeper discounts, broader access and highly efficient network selections - all without adding additional overhead costs. |
| o | Ecom announces that it has conducted more than 1.2 million electronic (EDI) transactions during March 2005. Ecom utilizes the most advanced technology to work with a number of PPO networks and vendors to obtain optimal savings for their subscribers. Claims are exchanged with payers and networks via electronic data interchange (EDI) with Ecom for processing, data perfection and quality assurance. Processing more than 1.2 million EDI transactions indicates a continued increase in the number of claims processed in an automated fashion between Ecom and its affiliates. It illustrates Ecom’s vast technical capabilities, growth and continuing emergence as a powerful force in the managed care administration services market. |
| o | Formerly called Ecom PPO.com, Inc. SM, the managed care leader announces it’s now doing business as Ecom PPO Advisors, Inc. (Ecom) to better reflect the company’s consulting services, which represent the organization’s primary focus and differentiator. Ecom also launches new leadership positioning, unveils one-of-a-kind service and enhanced website. |
| o | Ecom rolled out an enhancement of their existing service. This enhancement allows insurance companies and payers of all sizes to select PPOs at the member level. Traditionally, PPO’s are selected based on the following; a group basis, on small geographical area (i.e. a three digit zip code), or on a state by state level. The ability to have every member matched to a PPO that has contracts with the member’s providers should virtually eliminate out-of-network claims, while allowing all PPOs to compete for lives on a more level basis. |
| o | The Microsoft ® Gold Certified Partner Program provides a way for customers to identify companies that have proven their commitment and expertise in one or more specialized areas when delivering Microsoft ® technologies. Specifically, those related to business intelligence solutions featuring data warehousing, data mart, or OLAP functionality. Microsoft ® Certified Partners, who meet the highest set of criteria, including advanced certification and a portfolio of real-world customer references, are identified as Gold Certified—the most skilled partners in specific solution areas. |
| o | A platinum-level sponsor to the first-annual Maximizing PPO Network Success Conference in Miami Beach, Ecom teamed up with World Research Group and the Wall Street Journal in hopes of improving health plans’ and payers’ networks, and to drive maximum member network utilization and higher plan savings. |
| o | The conference was held on February 21-23, 2007, at the Doubletree Ocean Point Resort and Spa in Miami Beach, Florida. Attendees experienced first-hand case studies and proven best practices from the nation’s leading experts. |
| o | On May 18, 1998, Ecom PPO Advisors, Inc. formerly known as, Ecom PPO.com, Inc., officially began its successful journey. Ten years later, they continue to lead the industry. |
| o | Ecom received a patent for its work combining the best of existing PPO networks to form a Virtual PPO TM Network, a technology that Ecom has utilized for more than 7 years. |
| o | By utilizing these technologies, Ecom has been awarded a patent for its Virtual PPO TM Network which merges the best of existing PPO networks. |
• 2008 – Ecom partners with iHealth Technologies, Inc. and becomes Ecom
PPO Advisors, LLC
• 2008 – Origin is created
| o | In response to the needs of the clients, Ecom developed a prospective network selection tool called, Origin, which improves the enrollment experience for subscribers at the point-of-sale. Origin allows the salesperson, broker or HR representative to search for hospitals and PCPs in-network by searching Ecom’s data repository. By entering the specific provider(s) of a subscriber, Origin indicates the PPO options in rank order of highest in-network penetration. Through the use of Origin, clients will improve the in-network utilization and associated savings, as well as, the overall enrollment experience for new members entering the group or plan. |
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"The company’s long-term relationship focus and continued technological advancements made by Ecom PPO Advisors and its staff were the greatest driving forces behind our decision to hire these consultants."
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