Contracted with SynerMed, Inc. since 2006, EHS Medical
Group is a medical professional corporation and
integrated health care delivery system. Focused almost
exclusively on government programs (Medi-Cal, Healthy
Families, Healthy Kids and Medicare), EHS membership has
upwards of 85,000 lives, and includes significant
relationships with several Taft-Hartley/ERISA trust
funds. Founded in 1985, EHS owns and operates physician
networks in Los Angeles, Riverside, Sacramento, San
Bernardino, San Diego and Atlanta, Georgia.
EHS has partnered with Care1st Health Plan to offer the
exclusive Platinum Plan – a “dividend” plan that allows
brokers to grow their senior enrollment by offering
significant benefits to Medicare beneficiaries. In the
program, the plan pays for a significant portion of Part
B premiums, which results in a cost savings for members.
Through the company’s unique relationship with SynerMed,
California’s largest government programs managed
services organization (MSO) and the national leader in
health care business process outsourcing (BPO), EHS
boasts the most comprehensive health care services
portfolio and the most robust and innovative R&D
capabilities in the market today. This partnership
allows EHS to provide customers with both unmatched
clinical support and state-of-the-art technology
including Internet-based transactions, sophisticated
claims scrubbers, authorization automation, health plan
report automation, electronic claims submission and
HIPAA compliance. Together, EHS and SynerMed are at the
forefront of innovation in the rapidly changing health
care environment.
EHS members have access to all of the products and
services that SynerMed has to offer, including:
• SynerMed Insurance Services (SIS) - a
division of SynerMed, Inc., SynerMed Insurance Services
(SIS) is a health benefits agency that offers a variety
of insurance services to the health care community. SIS
specializes in products that enhance the profitability
and strategic positioning of SynerMed’s clients, which
consist of independent practice associations (IPAs),
medical groups, community clinics, third-party
administrators (TPAs) and individual physicians. SIS
allows clients to offer insurance services to their
patients, including access to a variety of Medicare
Advantage plus Prescription Drug (MAPD), Special Needs
Plans (SNP), group and individual insurance plans.
Patients will receive personalized plan guidance based
on their location, preferences and specific health care
needs from licensed insurance brokers, and customers
receive increased patient satisfaction and community
awareness through SIS outreach and marketing efforts. In
addition, SIS protects customers from unpredictable
events by offering medical malpractice insurance to its
contracted providers and discounted rates exclusively
available through SIS.
• SynerMedConnect - Launched just over
two years ago, SynerMedConnect is the company’s
Electronic Medical Management (EMM) system for health
care transactions. The comprehensive Web portal offers
customers a diverse menu of functions including
authorizations, claims submissions, eligibility
verification services. The system also has a unique
Web-based business application that allows the SynerMed
and EHS medical staffs to communicate directly with
patient’s physicians, increasing the efficiency of
patient care. In addition, SynerMedConnect caters to the
large number of medical practices that haven’t been able
to purchase the sophisticated – and expensive –
Electronic Medical Record (EMR) systems. For these
customers, SynerMedConnect allows medical records,
clinical guidelines and other medical notes to be sent
via fax, while ensuring complete compliance, proper
payment and efficient processing.
About SynerMed, Inc.
Founded in 1995 and headquartered in Los Angeles,
Calif., SynerMed offers the most comprehensive, creative
solutions for health care organizations and employers
today. The company manages more than $200 million a year
in health care benefits for more than 300,000 members
through its customers - which consist of IPAs, medical
groups, community clinics, third-party administrators
(TPAs), health plans and hospitals.
