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.
EHO provides an unequalled level of service while controlling costs to its end users by employing the following simple business practices:
EHO is a technology-driven Prescription Claims Processing Company with its state-of-the-art claims processing center, live pharmacist help-desk, and administrative/management offices all located in Belton, Texas.
We partner with our clients to deliver premium services, provide exceptional client service and custom-tailored solutions for your hospice needs.
Examples include Prescription Claims Processing, Pharmacy Messaging and Prospective Drug Utilization Review for Patient Safety.
Online Report Access
Brief, Comprehensive, Concise and Relevant Reports & Analyses. EHO also customizes reports and analyses to define, design and develop economies.
Client Validations and Applications for Direct-to-Hospice Rebates and - Hospice gets all the rebate.
Patient Enrollment Made Simple
Optional enrollment and maintenance processes include verbal, fax and online.
National Pharmacy Network
More than 56,000 Chain and Independent pharmacies
Client and Caregiver Communications
Circulation of What's Up? communications of Hospice-relevant information
EHO's large client base & "no mail-order" philosophy enhance local pharmacy access and price leveraging that favor all hospice Clients - small, large or remote satellites.
Use EHO's solutions to get the most value from your drug benefit. We help you do it with the most complete family of IT management solutions. All our operations are based on proven processes and industry best practices.
All benefit programs are customized to fit the Client's needs.
All administrative, claims processing and technical solutions are performed in-house. Prescription claims are processed with proprietary systems and software applications.
Specialized teams of Account Management Representatives and Pharmacists. Each Client will work with its own dedicated staff. Many of our Clients have worked with us for more than 10 years and have become like part of our family.
Clients are allowed complete access to all aspects of their benefits design including updating their employee census or printing any of our management reports.
On-line Real Time Adjudication
With programs supporting formulary, step therapy protocols, complex plan benefit structures, etc.
National Pharmacy Network
More than 56,000 Chain and independent pharmacies.
MAC Generic Pricing
The most aggressive MAC generic pricing in the industry.
On-line Report Access
All of our clients have online access to all their employee prescription history, real time transaction data.
24/7 Live Help Desk
24 hour access to a real person. A member services team trained to provide the highest levels of customer service. No confusing touch-tone menus. When you call EliteCare, your call is answered by a live representative at our U.S.-based Central HelpDesk.
Unlike traditional PBMs, EHO's plan changes can be executed in real-time. Our experienced staff is readily available to assist clients at every phase of the plan design, monitoring and adjustment phases, so they can easily implement plan designs that will have a positive impact on their bottom line. Features include:
EHO's simple approach is to provide unparalleled claims payment accuracy in a processing environment where plan updates and benefit parameters are updated in a matter of hours, not weeks or even months.