We are EHAE

EHAE is the administration arm of a 40 year old Global Insurance Technology and Services firm, NOT a TPA with a technology division.

Professional Services

Policy Administration

  • Policy Issue, fulfilment and services
  • Online Quoting and Enrollment – using your or our tools/technology
  • Online or paper Policy Fulfilment including ID Cards, Certs, forms
  • Inforce policy changes on-line or via Call Center Full policy renewal support
  • Fully integrated, end2end platform

Performance Metrics Management

  • Key Performance Indicators developed based on Client Requirements
  • Claims expectations: Turn-Around Time – 90% within 10 Days
  • Financial Accuracy – 99.5%
  • Procedural Accuracy – 99%
  • Call Center expectations:
      - Average Speed to Answer –
        120 Seconds
      - Abandonment Rate - < 5%
  • Policy Administration expectations: Issue Turn around Time – 48 hours

Check Payments & EOBs

  • Customizable EOB templates
  • State Mandated EOB language
  • Integrated with a number of fulfilment vendors
  • CAQH CORE® certified
  • Check or EFT
  • Paper or Electronic EOBs

Agent Distributions & Commissions

  • Capable of reporting Single Agent as well as Complex hierarchal arrangements (10+ levels)
  • Earned and Advanced commission models
  • Advance Balance Monitoring of Agent debt to ensure an appropriate debt ratio is maintained
  • Efficient recovery of Advance payments
  • Flexible commission payment schedule
  • Consolidated commission payment for all products by EFT or Check
  • Detailed Commission Statement available in pdf and Excel compatible formats
  • Timely processing of Commission inquiries and requests

Grievances & Appeals

  • Appeals loaded into workflow
  • Acknowledgement letter sent
  • Response Management Systems
  • Application of State Specific requirements
  • Close Case Systemes

Call Center Sales and Service Support

  • All calls are recorded
  • Quality Management systems applied: randomly audit incoming calls for quality
  • Provider Questions: Claim Status and Verification Of Benefit
  • Employer Questions: Invoice/Billing, Payment and Eligibility
  • Employee Questions: Claim Status, Benefit Questions, ID Cards, Plan Documents and Payments
  • Learning and Development programs
  • Six Sigma Methodologies applied

Billing & Collections

  • Billing, Collections, Premium Accounting
  • Individual and Group billing using multiple methods and frequencies
  • Consolidated Billing-Multiple policies, one deduction via credit card or ach
  • Add/update credit card or ach information via online portal or via telephone call to our Call Center
  • Update credit card expiration dates via online portal or via telephone call to our Call Center

Claims Administration & Adjudication

  • EDI Claim input
  • 100% batch adjudication; Highly Customizable Auto Release *Parameters by group, product
  • Comprehensive System edits; Eligibility, Provider, PPO, Coding
  • EDI interchange with PPO and Cost Containment Vendors
  • Automatic Application of Late Claim Interest and Penalty amounts Configurable by State
  • Flexible Audit Configuration; Silent and $ amount
  • Carrier approval for high dollar claims
  • Experts at managing claim cost for risk takers
  • Special Investigation Unit for claims Fraud, Waste and Abuse
  • Cost Containment programs including Claim Edit, Bill review, Clinical review, OON negotiations
  • Members of NHCAA

Verticals We Serve

Carriers/Risk Takers

EHAE oversees thousands of dedicated healthcare advocates that ensure your patients receive the care they deserve while reducing your overall costs.


We help employees, as consumers of healthcare, make informed decisions about their care based on both cost and quality.


Through our network of trusted advisors, we enable Brokers the support and technology needed to be successful in supporting small and...


EHAE currently provides membership support to a number of associations. This includes membership retention, attraction activities, and events.

Health Delivery System

We align providers with employers to strategically improve the health of the community. EHAE serves as a neutral party, facilitator and infrastructure...


As healthcare reform continues to reshape the industry, EHAE has kept up by continually supporting healthcare BPO clients as they try to...


EbixEnterprise CRM

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Benefit Exchange Hub

The Benefit Exchange Hub allows you to shop, quote and enroll in Association, Group and Individual health plans. When you...

EbixEnterprise Portal

The EbixEnterprise Portal provides real time access to benefit and claim information, and to dozens of HR, benefit and wellness...

Policy Administrator

The Policy Administrator is a robust policy administration and contract management solution that provides automated delivery of...

Claims Administrator

The Claims Administrator helps you manage the claim lifecycle, as well as all variations of health insurance, customer service...

EbixEnterprise Analytics

EbixEnterprise Analytics allows you to produce complex reports in minutes. You can also utilize the interactive business intelligence suite...

Contact Us

1 Ebix Way
Johns Creek, GA 30097
Tel: +1 678.281.2020
      Ext. 6050