https://www.edisonehs.com/new-folder daily 0.75 2021-04-19 https://www.edisonehs.com/home daily 1.0 2026-03-05 https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1619189584343-419TFRDVAL3WQTTZEMS0/TPA-services-01.jpg HOME CLICK TO LEARN MORE https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/81c6fb7b-6697-4181-b648-81df9824e2d6/Custom-Network-Design-03.jpg HOME CLICK TO LEARN MORE https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618265037709-EUHAZIHPTRJXLW8YZINX/Embedded-COE-01.jpg HOME CLICK TO LEARN MORE https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618265026209-ILODK91UBU91VI34BUU5/Care-Navigation-01.jpg HOME CLICK TO THE IMAGE ABOVE TO LEARN MORE https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618264263367-QS7067Y2DSA5QE9Y6VW3/image-asset.jpeg HOME CLICK TO LEARN MORE https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1619190429374-CJ8S3FQ8MGK6D2ICPG0R/Virtual-Medicine-01.jpg HOME CLICK TO LEARN MORE https://www.edisonehs.com/contact daily 0.75 2025-01-02 https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1619186525242-JQQZKVSJK7TND4GN2RUK/Contact-03b.jpg CONTACT - We are here for you. Hopefully, you’ve been able to learn a bit more about Edison as you browse through the site. And if you have we hope it became evident that when we say “we are here for you” - we back that up! We believe that the start of amazing service is listening to you, our clients. Then listening turns to strategic implementation with our team and yours. This leads to extraordinary processes and optimal function with your new TPA solution. Finally, these steps all result in outstanding outcomes for your employees, their families, and your health spend. Sound good? Get started by calling, emailing, or submitting our online contact form below! We can’t wait to get started! https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/77987223-0ee6-480e-aae1-49cd86efbebe/CMS-nosurpriseAct-480.png CONTACT - No Surprises Act Communications. If you are trying to submit an open negotiation or IDR request under the No Surprises Act, please click the email link below to email our NSA team to initiate and ensure timelines are met. All initial Open Negotiations, disputes, and follow-up correspondence must also be sent to the email address below. This inbox is not tracked or monitored daily. Submitting negotiations or disputes does not guarantee that your request has been received. If your email has been properly received, you will receive an automated email response stating that your request has been successfully received. nsanegotiations@edisonehs.com https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1619213869760-OHXGV0661WF0VWC8XM4U/image-asset.jpeg CONTACT https://www.edisonehs.com/services daily 0.75 2023-10-30 https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618345024012-ZKUDPV3ABOEQB2WQ5V8Z/HPA_01.jpg SERVICES - HEALTH PLAN ADMINISTRATION EHS offers our clients a truly unique white-glove approach to customer service. We never stop innovating and strategically adjusting your plan to ensure it functions at its highest potential, making the most of every dollar spent and every life covered. Claims Management & Adjudication Claims Repricing Billing & EDI Management ID Card Management Dental & Vision Administration PBM Management Plan Document Design Vendor Stack Management Member Education & Navigation https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618436216960-K1Z7W1VGRUX652M57Y63/Custom-Network-Design-03.jpg SERVICES - TECHNOLOGY DRIVEN Technology is at the heart of Edison as we have invested heavily in fully integrated platforms; increasing our functionality and reliability to offer worry-free Benefits to your members. 1-to-1 reporting; where data conversions cease to exist No lag time with real-time and daily data updates Fully integrated progressive Mobile App We are built on PowerBI: utterly scalable & insanely fast Free customized reporting Direct reporting control for clients Real-time view of accums, EOBs, ID cards, etc. 10 systemwide enhancements per year Quality metrics built into our reporting esri mapping brings your data to life Direct Member Text Notifications https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618423777918-WHXHSR0UP4U63UOROVJO/Embedded-COE-01.jpg SERVICES - CENTERS OF EXCELLENCE We embedded Edison Healthcare, our sister co. which built a private network of America’s top medical teams at some of the best medical centers in the nation. Each SmartCare Center and surgical team is selected for their excellence in dealing with these covered diagnosis types: Spine (Back & Neck) Orthopedic & Joint (Shoulder, Knee & Hip) Cancer Heart & Valve Bariatrics Transplants Complex Care https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/2db59215-527c-4858-96ac-d5a3d42c8b5b/business-team-2021-12-09-10-54-53-utc+copysite.jpeg SERVICES - CARE NAVIGATION Our highly experienced member services specialists are true advocates for your members’ healthcare. They passionately work with members, their families, and their physicians to coordinate the highest-quality, cost-conscious healthcare, resulting in the best possible patient outcomes. Pre-Admission Certification Outpatient Pre-certification Reconsideration & Appeal Inpatient & Concurrent Review Case Management Discharge Planning Retrospective Review Provider Channeling https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618423640702-K5HQ31TN2JDP0IUXOWPN/Custom-Network-Design-04.jpg SERVICES - CUSTOM NETWORK DESIGN Edison can build specialized network options to support clients and their members with more control over options in local markets. Our teams work with providers, hospitals, and all other medical facilities to negotiate contracts and provide cost controls with higher quality and greater savings. Imaging (MRI, CT, PET) & Labs Physical Therapy Surgical Procedures Chemotherapy & Radiation Home Health Services Maternity DME https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1619193652633-GY28DFHCXCLIZM74AT1Q/image-asset.jpeg SERVICES - VIRTUAL MEDICINE EHS has made progressive moves into virtual and technology driven remote access to medicine for years. We see that this is going to be an increasingly large part of the future of medicine for everyone. And doing this right by helping members learn to connect with local PCPs, on-call nurses & doctors, plus SmartCare specialists - will save the health plan significant funds all while helping make better medical decisions for the patients. Services 24/7 Virtual SmartCare Center Visits (COE) Edison Evolution Local PCP Virtual Access Virtual PBM Advising Nurse Navigation Chronic Care Management https://www.edisonehs.com/contact-1 daily 0.75 2025-10-23 https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618862239150-UYHPGK9PE5WBGKQBA4ZJ/clevelandclinicflorida_er_intensivecare_1575x900_som_atchain_01jpg.jpg ABOUT - EDISON HEALTH SOLUTIONS EHS was born from a commitment to superior service to our clients. Our sister company, Edison Healthcare, services hundreds of clients and hundreds of thousands of employees. Over the past few years, Edison has witnessed growing client frustration with their other healthcare vendors. Barriers to excellent member healthcare kept popping up between TPAs, carriers, navigators, and plan designs. Too many vendors just threw up their hands and served as nothing but friction between the client, their goals, their needs, and optimal member care. So, Edison set out to bring clients a next-level solution; they vetted their favorite TPA who already embodied the patient-focused mindset and concierge client service model - and then acquired them. Now Edison offers a unified, customizable solution for clients that finally puts the SELF back in their self-funded healthcare plans. https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618845545375-GJVZIOC75LYLSVITWMT7/testimonial_02.jpg ABOUT - Engineering Firm • Chief Operating Officer “We’ve used 2 TPAs over my 20 years here. EHS has done more in 12 months than they did in 20 years to deliver better care to our members and save the company money in our hardest year yet. I’m not sure how they do it so much better, but I’m sure glad we found them!” https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618845570493-EFYF28MVSYMCVT9XFFMQ/testimonial_03.jpg ABOUT - Large National Beverage Delivery Company • Director of HR “Healthcare benefits are so important to me, but they have always been a very unpleasant reality in our department. EHS and Edison have changed that for me and our employees. We are truly grateful!” https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1618845732026-ODLS1NZ4NSJ96QUL96ZX/testimonial_01.jpg ABOUT - Founder • Texas Packaging Company “I always felt like I was fighting my TPA and carrier to get on the same page and do what’s right for my employees. With EHS they are a one-stop solution, and they are doing an absolutely awesome job for us!” https://www.edisonehs.com/transparency daily 0.75 2026-03-05 https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/77987223-0ee6-480e-aae1-49cd86efbebe/CMS-nosurpriseAct-480.png TRANSPARENCY - NO SURPRISES ACT COMMUNICATION If you are trying to submit an open negotiation or IDR request under the No Surprises Act, please click the email link below to email our NSA team to initiate and ensure timelines are met. All initial Open Negotiations, disputes, and follow-up correspondence must also be sent to the email address below. This inbox is not tracked or monitored daily. Submitting negotiations or disputes does not guarantee that your request has been received. If your email has been properly received, you will receive an automated email response stating that your request has been successfully received. nsanegotiations@edisonehs.com https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1656450489115-M4MFH7ASBGYTTXQQY2ZM/HPA_01.jpg TRANSPARENCY - MACHINE READABLE FILES (MRFs) AVAILABLE NOW Per the new US Transparency Laws, our users will be able to access Machine Readable Files (MRFs) which disclose the costs of their employer’s in-network and out-of-network medical rates, allowed amounts and billed charges. MRFs are not member friendly files. The user friendly member tool will be the Price Transparency Tool described below. Coverage of any item or service is subject to the terms, limitations, and conditions of the health plan and network contracts. Always reference the member’s benefits for coverage information and limitations. Rates are subject to change for participant, beneficiary, and enrollee-specific characteristics. https://images.squarespace-cdn.com/content/v1/6074b419b171e20dacc6c30c/1656516328199-4951GXYKHLLUM1V37YTV/Care-Navigation-01.jpg TRANSPARENCY - PRICE TRANSPARENCY TOOL AVAILABLE NOW The all new EHS Price Transparency Tool will allow members to access personalized cost-sharing information for health services from any participating provider in their specific health plan’s network. This will help members to be able to make better decisions about healthcare choices as they study their options alongside the EHS team. Please remember, this is not meant to replace proper utilization of our amazing Member Services Team at EHS - they are here for you to help navigate your plan and options as well. This tool simply allows even more knowledge for members. Note: Access is offered through your member portal. 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