PBM360™ Claims Processing Platform
Your clients. Your services. The platform.
PBM360 is EHO's configurable claims processing and client services infrastructure for PBMs, TPAs, and pharmacy services companies. It applies the rules you set to every claim in real time.
- APIs, data formats, pricing sources
- Standardized
- <500ms claim processing time
- Real-time
- Built-in redundancy, multi-switch failover
- Always on
- In production since
- 1993
- Live phone support
- 24/7/365
Bring your own
Configure it to your business.
PBM360 runs the claims processing. You choose the network, integrations, clinical systems, and formularies.
PBM360 · Live claim processing
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BYO Network
Route claims through a managed pharmacy network, bring your own contracted network, or layer both.
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BYO Integration
Connect your portals, dashboards, and operational tools through standard, extensible APIs.
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BYO Clinical
Use your existing EMR, ePrescribing, and clinical systems. PBM360 takes only the data a claim needs.
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BYO Formulary
Build custom formularies per program, population, or patient, with your drug lists, pricing rules, prior authorization, and step therapy.
Why EHO
You have the programs and sponsors. Working with EHO, you have the technology to deliver.
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A ready-to-use platform
PBM360 is already running in production. You configure it to your business and your clients, so new programs launch quickly and grow without custom development.
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Under your brand
Your clients see your brand. EHO operates the plumbing: processing claims, monitoring the platform, providing reports, and securing the stack.
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Built for specialty programs
PBM360 was built for hospice, workers' compensation, and correctional pharmacy claims. That's all we process, by choice.
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With live phone support
Our Texas-based support team answers the phone 24/7/365. We intentionally don't use phone trees or AI chatbots, so your staff, clients, and pharmacies reach a person who can help.
Who builds on EHO
For PBMs, TPAs, and pharmacy services companies.
Companies serving hospice, workers' compensation, and correctional programs use PBM360 instead of building their own technology stack.
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Hospice
Hospices and hospice service companies use PBM360 to control drug cost per patient day under the Medicare per diem, with formulary customization down to the diagnosis or patient level and real-time prior authorization. Your team stays focused on hospice clinicians and the patients in their care.
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Workers' Compensation
Workers' comp programs get injury-specific formularies, utilization and pricing controls, and state-specific rules built in. Claims managers control pharmacy costs across the entire claim lifecycle, and injured workers get the medications they need to recover.
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Correctional
Pharmacies and healthcare providers serving correctional facilities use PBM360 to manage and monitor drug spend, with step therapy, formulary controls, and automated alerts built in. New patients can be added right at the time of fill, so no one at intake is left waiting on paperwork.
Ready to talk?
Tell us about your program, and we'll show you how it would run on PBM360.