Managed Care that Works for Everyone
Prime Network Provider Spotlight

   About Us
Evolutions Healthcare Systems, Inc. Thank you for considering Evolutions Healthcare Systems for your PPO needs. For your convenience the list of questions below details the information needed to provide a network quote, GEO Report, CPT Analysis, or Disruption Report. We have a full-time staff of Inside Account Managers to assist you with your questions and requests.

Standard Information

· Requestor’s name, phone, and email address

· The TPA Account Manager, phone and email address (if different)

· Plan Sponsor Name and Address

· Current plan effective date and proposed plan effective date

· Current Administrator if this is a new business opportunity

· Broker’s Name and Contact Information

· Current health care network affiliations

· Product Requested:

   Prime Network - Our Carrier-level Provider Network
      offered throughout Florida
   Prime Plus Network – A complementary Provider Network
      that expands the Prime Network for National Coverage
   Select Network - Our highly-rated National Preferred
      Provider Network
   Select Plus - (a.k.a., Advantage or Preferred Network) -       A complementary multi-network solution offering       extended national provider coverage

Additional Information Required for:

GEO Report

· Employee census information including sex, birth date, and employee zip codes (Please submit in Microsoft Excel)

· Access Standards (i.e. 1 Hospital within 25 miles, 1 PCP within 15 miles)

· Average number of employees on payroll each month for the past three years

CPT Analysis

· List of CPT codes to be referenced

· List of Facilities or Zip codes for analysis

· Most recent twelve months claims experience

Disruption Report

· List of 7 digit provider tax identification numbers

· List of Provider Names

· List of Provider Addresses

Submit Request for Proposal

Please submit your RFP and census information electronically (Word or Excel) to Or you can mail hard copies and diskettes to:

Evolutions Healthcare Systems, Inc.
PO Box 5001
New Port Richey, FL 34656
Attn: Sales Department

For additional Information please contact the Sales Department.