ELAP works with CES to reduce healthcare expenses for employees by negotiating a fair rate based on the medical provider's actual cost for delivering a service.
ELAP uses Medicare and the annual cost reports submitted by providers as the basis for reimbursement. This means no unreasonable markups on services or procedures. Because who wants to be in the dark about their healthcare costs?
All facility claims are sent to ELAP for auditing and pricing. GPA then pays the amount ELAP deems fair and reasonable to the facility. If the facility does not accept the ELAP payment in full, they may “balance bill” you.
ELAPulse directly connects you with an advocate ready to assist you with billing questions 24/7. Additionally, you'll have access to the following:
