ELAP’s metric-based pricing (MBP) model uses industry benchmarks and cost metrics to determine a fair and prompt reimbursement to medical providers. For occasions when providers “balance bill” plan members, ELAP provides full advocacy and support to members and offers a negotiation option to reach a mutual agreement with providers.
Choose ELAP with the confidence of knowing that you’re getting the only metric-based pricing solution that skillfully combines a negotiation option with strong legal backing if negotiations are not successful.
Hundreds of employers have chosen ELAP Services as a solution for their self-funded health plans, a solution that gives them an edge in meeting responsibility with expertise and control.
THE FIRST, THE LARGEST, THE BENCHMARK
It’s been over a decade since ELAP was founded on the mission to level the healthcare playing field for self-funded employers by defining reasonable claim limits in the plan documents. With the innovative concept of reference-based pricing for healthcare costs, ELAP secured its position in the industry.
INDUSTRY LEADING ADVOCACY
Dedicated Member Services Advocates are passionate about minimizing employee disruption and fostering personal relationships with members and their families. ELAP provides online tools and resources to support member education and adoption. Our expert legal team provides the backing and assurance that your health plan and members have the support they need.
EVERY LINE, EVERY TIME
Scrupulous line-by-line auditing of medical bills ensures an accurate cost basis, provides a valid starting point for fair payment and timely reimbursement to providers, and ensures maximum savings for clients.
A PARTNER IN FIDUCIARY RESPONSIBILITY
Choose a partner, not just a vendor. As experts in the intricacies of plan regulation, ELAP stands shoulder-to-shoulder with clients by functioning as co-fiduciary and designated decision maker for the health plan.
ELAP Services is a leading healthcare solution for self-funded employers across the U.S., offering unparalleled cost-saving and advocacy services.
* Actual results may vary and are not guaranteed.
For 10 years, ELAP has delivered unparalleled cost savings for self-funded health plans.
THE ELAP DIFFERENCE
• Plan design that puts you in control of your plan funds
• Co-fiduciary services to help with difficult plan decisions
• Strong member defense – from start to finish
• Detailed analytics that inform and optimize
• Robust client services and balance bill support team