ABC Organization May 24, 2023 Conference Highlights
The ABC Organization held a conference on May 24, 2023, focusing on introductions, prospect overviews, and presentations on Zynergia, Boa Vida Healthcare, and the ECH Membership Program. Zynergia discussed its national reach and healthcare benefit offerings. The ECH emphasized its mission for cost-effective, quality healthcare. Membership advantages and partnership opportunities were also highlighted.
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Presentation Transcript
ABC ORGANIZATION May 24, 2023
Agenda Introductions Prospect Overview Introduction to Zynergia/ Boa Vida Healthcare Introduction to ECH Membership Program Process/Timeline Next Step(s)
Zynergia National reach, all 50 states PEO, Staffing and BSO (Paygo) models Leading technology platform (iSolved) National WC carrier National healthcare benefit plans 401k Retirement plan, dental, vision, FSA, HSA, and full range of supplemental plans and benefits including life, STD and LTD
ECH Success Goals Story
ECH Story- Foundation for Success Strategy Expertise Resources Design Program Philosophy Founder Kirnjot Singh, MD Family of Companies
The ECH Value Proposition ECH (Employers for Cheaper Healthcare) is a non-profit organization whose members care deeply about providing cost-effective, quality healthcare to their employees. The organization s mission is to provide leadership on employer-related healthcare issues through communication, education, and research.
ECH Blueprint for Success Philosophy Program Partners
ECH Membership Program Member Advantages True Healthcare Partner Concierge Program Health Plan Access Plan Design Low-cost Prescription
ECH Membership Partners Qualexa ZIA value-Add to the ECH process QH is your HQ for Better Healthcare! Qualexa Healthcare consistently incorporates Quality and Excellence in all its offerings and services to our business partners. Qualexa s benefit designs, Customer and Claims Concierge Services, and Provider Network Access provide our business partners with various healthcare administrative services to facilitate the best healthcare outcomes. Advantages of Partnering with Zynergia Insurance Agency (ZIA): Extensive knowledge in the Healthcare and Benefit Space. Tenured Team who are Client and Solution Driven. Highly Valued and Collaborative Agency. Focus on the Client s need without resting on increased premium with higher broker commission. Attentive to Clients and Partner need with employer- related issues and compliance.
ECH Membership Philosophy Endpoint Member Experience True Not-for-Profit Organization Implemented The Way You Want Standalone Additional Benefit Programs Zynergia Package Concierge Service No Hidden Costs Partnering With Providers Out- of-Network No Additional Purchases Required Minimize Out-of-Pocket Costs Surplus Reinvested Back Into Benefit
ECH Process/ Timeline Step 1 Step 2 Underwriting NWA Authorization Step 4 Step 3 Step 5 Enrollment Execute CBA/Amendment Execute Participant Agreement, if required ECH Appointment/ Membership Simple, Quick Process
ECH Enrollment Basic and Member Resources At-A-Glance Who do I call or contact when I need assistance? Customer Service Provider Network Search: https://www.multiplan.com/phcspracanc Phone: 883-273-2253 Hours: 7:00 a.m. 7:00 p.m. CST Email: nwaech@qualexahealthcare.com Prior Authorization MediReview 800-674-9363, Option #4 Pharmacy Provided by Welldyne Pharmacy Helpdesk: 888-479-2000 Member Login: https://wellview.welldyne.com/ Member Site: https://qualexahc.vbagateway.com/ A registration code is required. Call Customer Service or email nwaech@qualexahealthcare.com to obtain your personal code. RX Bin: 008878 PCN: WDRX
ECH Concierge Services Qualexa Healthcare services are unmatched. The Customer Service Concierge team provides full service to Members, including assisting with finding a Network Provider, calling Providers for appointments, or just handling your day-to-day needs for Healthcare. Member Care and Claims Management With a Warm Body, Not Automation. Single Team claims Service A-Z Provider Relationship to contract for Non-Network Providers. Provider location and Prescription Drug Location Convenience. Provider, Facility and Pharmacy Preauthorization. Plan Menu Consultation Customized Enrollment Service; Enrollment, Online Portal Enrollment & Renewals. Proactive Renewal Communication Renewal Recognition Program- Client and Referral Source
Q & A Final Statements Next steps Close
