Healthcare Claim Solutions
A thoughtful approach to healthcare costs.
EPLAN helps health benefit plans navigate out-of-network claims with experienced review, provider negotiation, and dedicated client support.
Focused support. Clear purpose.
Practical solutions for complex claim challenges.
01 / REVIEW
Out-of-network claim review
Careful evaluation of out-of-network claims to support responsible management of plan resources.
02 / NEGOTIATION
Provider negotiation
Direct engagement with providers to pursue negotiated claim resolutions on behalf of health benefit plans.
03 / SUPPORT
No Surprises Act & IDR
Support for Open Negotiation and Independent Dispute Resolution matters under the No Surprises Act.
04 / PAYMENT INTEGRITY
Fraud, Waste & Abuse Mitigation
Review of claims for potential billing irregularities, inappropriate charges, and unnecessary costs to help protect plan assets and support payment integrity.
Built Around Your Plan
A partner who understands.
With a focus on Taft-Hartley and self-funded health benefit plans, EPLAN brings attentive service and practical experience to the claims that need a closer look. We serve as an extension of your team, bringing hands-on attention to complex claims and helping trustees and administrators make informed decisions resulting in successful claim resolution.
Let's Connect
Learn what EPLAN can do for your plan.
Contact our team for more information about our services.