Trusted network expertise.
For more than three decades, Evolutions has built direct provider relationships across Florida and beyond. Those relationships are now supported by OpenNetworks technology and infrastructure. Same network, more capability behind it.
We are not your typical PPO
Every Evolutions network is built to a client's criteria, from narrow reference-based networks to full group health and workers' compensation programs.
Safe Harbor Networks for Reference-Based Solutions
Narrow networks that work well with reference-based health plans. We provide a safety net of providers for your members.
Customized Networks for Health Systems & Community Health Plans
Back-office solutions that help health systems market their own network to payors and employers.
Tailored Networks for Employers
The perfect fit: direct provider relationships that help employers control costs.
International Network
For payors managing travelers and extended-stay visitors within the United States, Puerto Rico and the US Virgin Islands.
Workers' Compensation Network
Network coverage for workers' compensation claims, backed by dedicated payor and provider support.
Group Health Networks
Primary, secondary/travel wrap and EOB networks for group health plans.
Built to support next-generation health plan designs
Proprietary Evolutions software handles everything from contracting through claims repricing, now running on OpenNetworks infrastructure.
Who are you?
Pick your path and we'll take you to the right resources.
Member
Find an in-network provider and understand what your network does for you.
How to use your network →Employer
Take control of your health plan with direct provider relationships built to your criteria.
Take control →Provider
Join the Evolutions network, or access forms, credentialing and payor information.
Join our network →TPA, Agent or Consultant
Partner with us on network access, repricing and back-office support for your book.
Let's work together →One of the nation's largest independently built PPO networks
Our passion is to use decades of PPO network development experience to build customized narrow networks that deliver quality, cost-effective healthcare to self-funded employers, their employees and families. Over 33 years, Evolutions has grown into a national network with regional dominance in Florida.
Direct provider relationships
Contracts held and managed by Evolutions, built for group health and workers' compensation to each client's criteria.
Proprietary repricing engine
A flexible system engine that interprets, calculates and reprices claims against complex matching protocols and network tiering.
A full management suite
EDI, customized directories, out-of-network savings solutions, analysis and reporting, all under one roof.
The same network, with more behind it
Evolutions is now part of OpenNetworks, a technology platform for direct healthcare contracting. Our provider relationships, contracts and Florida network expertise remain in place and continue to be managed by the Evolutions team.
OpenNetworks adds technology, infrastructure and additional network capabilities that support the next stage of growth: transparent rates, modern portals and APIs, and a claims repricing platform.
Learn about OpenNetworks →Members, providers and payors continue to use the same phone numbers, portals and provider search. Nothing about how you work with Evolutions changes.
Let's build the network your plan needs.
Talk to the Evolutions network team about a customized network.
