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The shortest distance between you and unrivaled PPO savings,
analysis and network administration
Ecom PPO Advisors (Ecom) has masterminded an unprecedented, industry-changing approach to PPO network analysis, selection and administration. Only Ecom navigates payers through hundreds of nationally recognized PPO networks to pinpoint their
one-of-a-kind “best fit” primary PPO grouping tied to companies’ most effective PPO network selections. Ecom then streamlines the organizations’ network administration at no additional charge.
Today, Ecom remains the only consultant for health insurance payers that projects millions of dollars in maximum incremental healthcare savings each year for each client and guarantees the results. Ecom stands behind its unique analysis, customized recommendations and proven patent-pending technology. To demonstrate this commitment, Ecom bases its compensation on these projections.
Taking it one step further, Ecom’s visionary advisors have charted new territory by substantially minimizing out-of-network claims or “white space” – yet another innovative first for the industry. Ecom now can significantly reduce all out-of-network claims, or “white space,” by pinpointing the best primary PPO for every individual member and their families. In simple terms, this new service will guide healthcare and its affordability to a new dimension. |
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Contact Information:
Ecom Public Relations
214-561-6300
1-866-326-6776 (toll free)
Click here to e-mail us
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Ecom PPO Advisors’ beginnings date back to 1992, when now Chairman and CEO L. Cade Havard discovered a problem in the healthcare industry.
When Havard learned that healthcare providers were not being paid in a timely fashion for the medical services they rendered, he discovered that much of the issue could be attributed to the laborious claims processing systems implemented by most payers at the time. As a result, he developed one of the first fully-integrated, automated claims workflow systems in the country. Retail giant Wal-Mart was the first company to embrace his vision.
This revolutionary approach not only increased claims processing efficiency, but also evaluated billions of claims dollars in an efficient, precise manner. Havard’s unprecedented technology resulted in him being awarded a patent pending on the algorithms used to evaluate the claims data.
In 1998, Havard built a business model around the Virtual PPO concept of total PPO administration, and Ecom was born. While developing this approach, Havard created a team of experienced healthcare and technology professionals. Ecom’s innovation lives on today as it has introduced a number of business models that continue to be embraced by many payers, plan sponsors and vendors. |
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- Only Ecom PPO Advisors navigates payers through hundreds of top-tier nationally recognized PPO networks to pinpoint their one-of-a-kind “best fit” primary PPO grouping tied companies’ most effective PPO network selections.
- Ecom’s seasoned employees offer companies decades of experience in managed care, healthcare and information systems.
- Ecom’s clients collectively save hundreds of millions of dollars each year.
- Clients enjoy a more than 50 percent increase in maximum incremental savings on average.
- Ecom’s data repository of repriced claims data represents billions of dollars annually across more than 120 top-tier PPO networks.
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| Ecom PPO Advisors’ bundled, cutting-edge products and services can save payers millions of incremental healthcare dollars annually and help streamline their PPO network administration. |
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Consulting Navigator
Ecom estimates and promises unheard of managed care savings tied to payers’ claim dollars by utilizing the most effective, nationally recognized PPO network selections to meet their particular needs. Ecom’s innovative patent-pending technology creates a unique, detailed PPO analysis based on a company’s actual claims history. Ecom then is able to maximize both the broadest coverage for in-network claims and the deepest discounts available – at either a member or geographic level. Because Ecom is independent and not affiliated with any PPO, their analyses remain unbiased. |
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Member-Level Primary PPO Selection
Ecom has pioneered a Member-Level Primary PPO Selection and White Space Elimination™ service to substantially minimize out-of-network claims or “white space.” Ecom’s personalized analysis scouts out where individual members and their families have been seeking medical attention, and pinpoints the ideal individual PPO to fit.
Geographic-Access Level Primary PPO Selection
Ecom navigates actual medical claims history for clients’ participants. Ecom then steers this information into its patent-pending technology to sort through numerous primary PPO network options and related discounts. Prior to the creation of Ecom’s specialized geographic approach, companies could only account for healthcare providers’ locations, instead of factoring in real medical claims from its healthcare plan participants. From this customized analysis, Ecom can pinpoint which of the two geographic selection options is best for a client: |
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Local Three-Digit Zip Code Primary PPO Selection
Offers the best multiple primary PPO network configuration based on plan participants’ actual medical claims.
State-by-State Primary PPO Selection
Guides payers to the single best primary PPO network for each state as determined by their plan participants’ actual medical claims. |
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Value-Added Services
best customized networks, they supply value-added network administration at no additional charge. Ecom creates and maintains a turn-key customized PPO workflow that easily integrates into an existing system. Payers can streamline as much or as little as desired, and can have Ecom coordinate all services in house or interface with existing vendors.
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Scanning and Optical Character Recognition
Ecom offers industry-leading scanning and document management technology, easily accepting standard healthcare claims and attachments. Ecom will retrieve claims on clients’ behalf and integrate these claims into the workflow. Ecom currently receives claims that are coming through the clearinghouses from providers and PPO networks. |
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Repricing
Ecom provides comprehensive PPO / repricing solutions for approximately 120 different nationally recognized PPO networks. The company handles millions of claims each year, and processes millions of EDI transactions annually. |
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Claims Intelligence Portal
Ecom’s Claims Intelligence Portal contains two key components: |
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Online Client Service Web Tools
This utility can track all claims throughout every stage of the process, so payers know exactly where claims stand at any moment, even years later.
Internet-Based Reporting
Ecom’s standard reports include statistical information such as the number of in-network and out-of-network claims and discount information. This powerful tool provides business intelligence into the claims data repository, and is extremely user friendly. |
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