About EHO
Located in the Belton, Texas, EHO is a prescription claims processor
that since 1993 has focused on administering prescription claims
for health maintenance organizations, third party administrators, preferred
provider organizations, pharmacy benefits management companies, employers,
hospice programs, workers compensation programs, patient assistance programs
(state, county, municipal, MHMR, etc.) and fraternal groups. Specifically, EHO
helps its clients design pharmacy plans, implement the plan, perform ongoing
administration and troubleshoot any issues that arise.
EHO's business model focuses on constantly striving to control costs while
providing excellent member service, advice and reporting functions. EHO
specializes in administering the prescription benefit plans with a need to both
control prescription plan costs and provide employees with a valuable, much
appreciated benefit.
Model for Success
EHO provides an unequalled level of service while controlling costs to its
end users by employing the following simple business practices:
- Strong Customer Service via One Point of Contact. Having
one highly knowledgeable and well-trained point of contact for each client
provides easy access and fast response to customer needs.
- Personalized Service. Calls are always answered by a live
customer service manager. Both clients and patients never have to navigate the
maze of a complicated voice mail system in order to get help. Patients almost
always speak to the same customer service manager who knows the patient's
history and acts as their advocate. This provides continuity of service to the
patient, alleviates miscommunications, avoids delay in the process and promotes
issue resolution. All of the client service managers are cross trained to
ensure continuity throughout the client base.
- Quick Turn Around. EHO quickly and efficiently
investigates all prescription related problems, thereby reducing the amount of
time it takes for patients to get their issue resolved. Issues are often
resolved while the patient is still at the pharmacy or on the phone; otherwise
within twenty-four hours.
- Human Intervention. EHO's policy is to review a
significantly larger number of claims than others by establishing a low
dollar threshold amount which triggers standard review. In addition to
clinical considerations, this allows EHO to apply human logic
to the adjudication process. Human intervention allows EHO
to identify issues that a system might ignore, helping reduce cost to
the plan while improving patient outcomes. EHO keeps an
extensive notes database that tracks actions taken on every member
and process.
- Low Costs EHO believes in taking advantage of every
opportunity for saving money for its clients, no matter how small each incident
may be. EHO is known as an industry leader in providing the lowest
prescription cost to its providers.
- Coordination of Benefits By actively monitoring
coordination of pharmaceutical benefits for those patients with more than one
source of coverage, EHO reduces costs for its clients.
- Immediate updates. EHO's live 24/7 help desk actively
makes changes on the fly. There is no time delay adding new employees or
terminating employees. While our clients are requesting changes we can make the
changes while we are on the phone with them.
- Flexible Plan Design. Unlike large insurers and other
competitors, EHO works with each client to develop a unique benefit structure
and plan design that can rein in costs while satisfying the healthcare needs of
our client's employees.
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