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. Nothing here is a rented, off-the-shelf panel.
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.
How a custom network gets built
Details for payors and administrators →Criteria
We start from your plan design, geography and cost targets rather than from an existing panel.
Contracting
Evolutions negotiates and holds the provider agreements directly, including tiering and lines of business.
Configuration
Matching protocols, directories and repricing rules are configured and tested against live claim samples.
Ongoing management
Recruitment continues, demographics stay current, and reporting shows access and savings over time.
Let's build the network your plan needs.
Talk to the Evolutions network team about a customized network.
