
Employee Benefit Management Services (EBMS) is a third-party administrator of self-funded health plans. EBMS offers a range of services to US employers to help them manage their healthcare, including benefits administration, health centres, pharmacy programs, and captive insurance risk services. EBMS aims to improve the cost, quality, and experience of healthcare for employers. EBMS also provides a claims processing platform that allows for faster and more accurate processing, and offers multiple levels of service within each solution category for a customizable experience.
| Characteristics | Values |
|---|---|
| Type of Insurance | Third-party administrator of self-funded health plans |
| Services | Claims processing, care management programs, business intelligence, core administration, benefit management, reporting and analytics, healthcare, and prescriptions |
| Solutions | miBenefits, miInsights, miCare, miChoice, miRx |
| Goal | Improve the cost, quality and experience of healthcare for U.S. employers |
Explore related products
What You'll Learn
- Employee Benefit Management Services (EBMS) is a third-party administrator
- EBMS offers self-funded, custom health plans
- EBMS provides support for employers managing employee healthcare
- EBMS offers multiple levels of service for customisation
- EBMS has a focus on technology, transparency, customisation and accountability

Employee Benefit Management Services (EBMS) is a third-party administrator
Employee Benefit Management Services (EBMS), founded in 1980, is a third-party administrator of self-funded health plans. EBMS offers a range of services to support employers in the U.S. with managing their healthcare and employee benefits. EBMS's mission is to improve the lives of its members by simplifying the benefit journey for all stakeholders and changing the way employer and plan-sponsored benefit plans are purchased and delivered.
EBMS provides solutions for core administration, benefit management, reporting and analytics, healthcare, and prescriptions. They offer a claims processing platform that allows providers to submit claims electronically, increasing payment turnaround time and accuracy. EBMS also offers a suite of services, including benefits administration, proprietary onsite/near-site health centers, clinical and specialty pharmacy programs, captive insurance risk services, and flex, HRA, and HSA administration.
One of EBMS's key features is customization. They offer multiple levels of service within each solution category to cater to the specific needs of their clients. This includes their five distinctive solutions: miBenefits, miInsights, miCare, miChoice, and miRx. miBenefits covers the basic elements of every benefit plan, while miInsights provides robust data to drive decision-making. miCare ensures coordinated health services at every level, and miChoice offers quality and cost-containment tools for value-based care. miRx is next-generation prescription drug management, focusing on technology, transparency, customization, and accountability.
EBMS strategists also work to cut plan costs and spend for employers and members, aiming to improve the cost, quality, and experience of healthcare. They have identified effective ways to reduce costs, such as improving access to care while containing expenses. EBMS's technology investments support their mission by enhancing the overall experience for their members and stakeholders.
Personalized Coverage: Private Insurance Benefits and Peace of Mind
You may want to see also
Explore related products

EBMS offers self-funded, custom health plans
Employee Benefit Management Services (EBMS) is an industry leader in health risk management and third-party administration of self-funded health plans. EBMS offers a broad suite of services to support employers in managing their healthcare. EBMS's services include benefits administration, health centres, clinical and specialty pharmacy programs, captive insurance risk services, and flex, HRA and HSA administration.
EBMS offers multiple levels of service within every solution category, providing a truly customizable experience. EBMS's five distinctive solutions include miBenefits, the basic elements of every benefit plan; miInsights, robust data to drive decision-making; miCare, coordinated health services at every level of care; miChoice, quality and cost-containment tools; and miRx, next-generation prescription drug management.
EBMS is committed to using up-to-date technology to customize and create a simplified approach to building personalized benefit plans. EBMS has made significant investments in technology to support its mission and offer superior customer service and data-driven plan design. EBMS offers the highest level of clinical and financial data in the industry, along with on-staff data analysts.
Is Your Money Safe? Mid-Florida Bank's FDIC Insurance Explained
You may want to see also
Explore related products

EBMS provides support for employers managing employee healthcare
Employee Benefit Management Services (EBMS) is a third-party administrator of self-funded health plans, providing support to employers in managing employee healthcare. EBMS offers a range of services to simplify the process of managing employee benefits, with a focus on customisation and cost reduction.
One of the key advantages of EBMS is its ability to cut costs for employers and employees. EBMS strategists have identified effective ways to reduce expenses and control spending trends, aiming to decrease costs by up to 25%. This is particularly beneficial in an era of escalating healthcare costs, where individuals and organisations seek greater value for their healthcare spending.
EBMS provides a broad suite of services to support employers. These include benefits administration, where they assist in managing employee benefits efficiently. They also offer proprietary onsite/near-site health centres, providing convenient access to healthcare services for employees. Additionally, EBMS provides clinical and specialty pharmacy programs, ensuring that employees have access to necessary medications.
Another important feature of EBMS is their employer direct network management. This service helps employers navigate and manage their relationships with different healthcare providers. EBMS also offers captive insurance risk services, providing risk management solutions to mitigate potential financial risks associated with employee healthcare. Furthermore, EBMS supports flex, HRA, and HSA administration, giving employers flexibility in managing healthcare expenses.
EBMS's core solutions are designed to streamline the entire benefit journey for all stakeholders. They offer multiple levels of service within each solution category, ensuring a highly customisable experience. EBMS's technology investments further support their mission, providing efficient claims processing platforms and electronic claim submission systems, ultimately improving the overall experience for employers and employees alike.
Synchrony Bank: Insured or Not?
You may want to see also

EBMS offers multiple levels of service for customisation
Employee Benefit Management Services (EBMS) is a third-party administrator of self-funded health plans. EBMS offers a broad suite of services to support employers in managing their healthcare. EBMS's core solutions are designed to simplify the benefit journey for all stakeholders, and the company offers multiple levels of service within every solution category for a truly customisable experience.
EBMS's five distinctive solutions offer many levels of service to aid in customisation. These include:
- MiBenefits: The basic elements of every benefit plan.
- MiInsights: Robust data to drive decision-making.
- MiCare: Coordinated health services at every level of care.
- MiChoice: Quality and cost-containment tools to ensure value-based care.
- MiRx: Next-generation prescription drug management.
EBMS also offers a claims processing platform that is designed to be faster and more accurate, allowing providers to focus on caregiving and healing without back-office distractions. As a PPO provider with EBMS, providers can quickly submit claims electronically, increase payment turnaround time, and access comprehensive reports. EBMS is a third-party administrator that participates with many different PPO networks.
Understanding BCBS: Private Insurance Options and Benefits
You may want to see also

EBMS has a focus on technology, transparency, customisation and accountability
Employee Benefit Management Services (EBMS) is a third-party administrator of self-funded health plans. EBMS has a focus on technology, transparency, customisation, and accountability.
EBMS offers a broad suite of services to support employers with managing their healthcare, including benefits administration, health centres, and pharmacy programs. EBMS's mission is to improve the lives of its members every day. They invest heavily in tech solutions that support this mission. EBMS offers multiple levels of service within every solution category, for a truly customizable experience.
EBMS's core solutions are designed to simplify the benefit journey for all stakeholders. They offer five distinctive solutions with many levels of service to aid in customization. These include miBenefits, which offers the basic elements of every benefit plan, and miChoice, which provides quality and cost-containment tools to ensure value-based care.
EBMS also prioritizes transparency. They have invested in a claims processing platform that is faster and more accurate, allowing providers to focus on caregiving and healing. As a PPO provider with EBMS, providers can quickly submit claims electronically, increase payment turnaround time, and access comprehensive reports.
EBMS is accountable to its stakeholders, bringing value to every stakeholder in a benefit plan. EBMS strategists put together effective ways to cut plan costs and spend for employers and members.
Round Rock ISD: Insurance Coverage and Employee Benefits
You may want to see also
Frequently asked questions
EBMS stands for Employee Benefit Management Services. EBMS is a third-party administrator of self-funded health plans.
EBMS offers solutions for core administration, benefit management, reporting and analytics, healthcare, and prescriptions. This includes prescription drug management, health risk management, and disease management.
EBMS offers customizable plans that can cut costs by up to 25%. They also offer multiple levels of service within every solution category, providing a truly customizable experience for employers and employees.


















