Built for the people who manage the pharmacy benefit.
We are not a general-purpose call center that added a pharmacy vertical. Everything here, the scripts, the integrations, the compliance posture, exists for organizations that live in formulary, claims adjudication, and network management.
Take overflow, or take the whole line
Your book grows by adding plan sponsors, and every sponsor adds calls you did not staff for. We scale with the book instead of with headcount, which means a new sponsor does not mean a hiring cycle.
Overflow or full service
Sit behind your existing help desk and take what spills over, or run the line end to end.
Many formularies at once
Plan sponsors with different formularies, handled per plan rather than by a generic script.
White-labelled to your brand
Callers hear your organization, not a vendor they have never heard of.
Where PBMs start
Pharmacy claims
Reject and pending claims resolved without a transfer.
Formulary & benefits
Tier and coverage confirmed live for prescribers and members.
Outbound campaigns
Adherence and refill outreach across the whole book at once.
Where in-house pharmacy benefits start
Medication therapy management
MTM outreach completed at scale without standing up a call center.
Adherence and refill outreach
Branded outbound outreach that actually gets answered.
Pharmacy search
Members leave the call with somewhere specific to fill.
The same call quality on the pharmacy line as the medical line
Hold time and callbacks show up in your CAHPS scores long before they show up in a budget review. We take the routine pharmacy volume that creates them, and we do it at a per-call rate that makes the trade obvious.
24/7 without a night shift
Evenings and weekends covered, which is when members are actually free to call.
Every call QA-scored
Quality measured on all calls rather than a monthly sample.
Outreach that reaches
Branded, fully attested outbound so campaign lists convert instead of ringing out.
And the two people on the other end of the line
Every organization we serve has the same two callers: a pharmacy working a claim before they can dispense, and a member trying to understand what they owe. We design for both, separately, because they want different answers to the same lookup.
PBM call handling, answered
Can you take only our overflow?
Yes. EHVAhealth can sit behind your existing help desk and take what spills over, or run the line end to end.
Do callers hear our brand or yours?
Yours. The line is white-labelled, so callers hear your organization rather than a vendor they have never heard of.
How do you handle many plan sponsors with different formularies?
Per plan. Each sponsor’s formulary and plan design is handled on its own terms rather than by a generic script.
What does it cost?
Pricing starts at 50¢ per call, with no seat licenses, platform fee, or per-minute meter. Your rate depends on volume, scope, and the complexity of your systems and formularies, and is quoted in writing after one scoping call.
How long does it take to go live?
About five days is typical for a single call type on a platform with a modern API. Larger scopes take longer, and you find out which you are in during discovery.
EHVAhealth in production
Acuity Group: 81% automated
Claims, eligibility, and benefits calls answered end to end for a TPA covering 16,471 lives.
Read the case studyCareFactor: 90% autonomy
Benefits and claims calls answered from plan documents and EOBs, 24/7, for 30,000 lives.
Read the case studyWellNet Healthcare
A TPA running Five9 and Salesforce selects EHVAhealth for its provider calls.
Read the announcementFind out what your line would cost
Hear real calls, then one scoping call and a written rate starting at 50¢.