ELAP Services
ELAP Services is a privately held healthcare cost containment firm that provides reference-based pricing, claims auditing, and member advocacy to self-funded employers across the United States, selling through certified brokers and direct enterprise sales.
- Company typePrivate
- Founded2007
- HeadquartersWayne, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What ELAP Services does
ELAP Services, LLC is a privately held healthcare cost containment company headquartered in Wayne, Pennsylvania, founded in 2007 by Steve Kelly (CEO) and Woody Waters. The company operates a reference-based pricing (RBP) solution for self-funded employers, using Medicare reimbursement rates and actual hospital-reported costs as benchmarks to determine fair healthcare payments rather than relying on inflated chargemaster or PPO-discounted prices. Its core methodology pays materially less than PPO rates (the company reports up to 70% less for major procedures) and includes line-by-line claims auditing, repricing, provider negotiation, and member advocacy with unlimited legal representation for balance bills.
The platform is anchored by the Pulse member portal, which provides 24/7 access to provider search, balance bill management, plan performance analytics, and member advocate connections. ELAP supplements its core product with HR support, dedicated client relationship managers, a savings calculator, and direct provider integrations through Imagine Health Partners, CHI Health, and Penn Medicine. The company also operates a broker certification program that supplies certified brokers with sales materials, savings analysis tools, and real-time performance data to sell ELAP's RBP solution to employer clients.
ELAP generates revenue through managed-services fees on claims administration, auditing, and repricing, priced based on plan size and claims volume. It sells exclusively through a two-channel GTM: a certified broker network and direct enterprise field sales targeting self-funded employers with 100+ employees. The company reports serving 500+ self-funded companies with cumulative client savings exceeding $1 billion and a Net Promoter Score of 78.
ELAP Services firmographics
Firmographics- Name
- ELAP Services
- Legal name
- ELAP Services, LLC
- Website
- https://elapservices.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- ELAP Services is a privately held healthcare cost containment firm that provides reference-based pricing, claims auditing, and member advocacy to self-funded employers across the United States, selling through certified brokers and direct enterprise sales.
- Ownership category
- akta.pro rank
ELAP Services industry classification
Industry- Product category
- Healthcare Cost Containment Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Reference-Based Pricing (RBP) / PPO Alternative Networks (HLAEANAL)
Keywords
Where ELAP Services is headquartered
LocationHeadquarters
- HQ city
- Wayne
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
ELAP Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Reference-Based Pricing Administration: ELAP charges self-funded employers for claims auditing, repricing, and administration services. The company acts as co-fiduciary on health plans and provides ongoing support through dedicated client relationship managers. Revenue is generated through fees tied to plan size and claims volume.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Annual | Enterprise self-funded employer pricing |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels7 records
ELAP Services product offering
Product offeringCore offering
ELAP Services provides reference-based pricing (RBP) solutions that help self-funded employers pay fair, transparent prices for healthcare by repricing medical claims against Medicare-based benchmarks plus a defined markup, rather than relying on PPO network contracted rates. The company audits and reprices claims, defends members against balance billing, and bundles member advocacy services including legal representation, clinical guidance, and provider navigation for employees of self-funded health plans. Its offerings are sold to employers directly and through certified benefits brokers and consultants.
Product overview
ELAP Services is a reference-based pricing (RBP) solution provider offering a unified platform for self-insured employers to control healthcare costs. The core product is the ELAP Reference-Based Pricing Solution, which works alongside the Pulse Portal for member management, Claims Auditing and Repricing services, Member Advocacy Services, HR Services, and Provider Partnerships with Imagine Health Partners and CHI Health. The platform also includes a Savings Calculator tool, Broker Portal, White Papers and educational Guides, and a Broker Certification Program. Together, these components enable employers to audit claims, negotiate fair provider payments based on Medicare and actual costs, protect members from balance bills, and achieve up to 30% savings compared to traditional PPO plans.
Differentiator
Problem solved
Functional benefit
Brands
- Pulse: Online member portal and HR analytics platform for tracking plan performance, provider searches, balance bill management, and member advocacy.
Products and services
- ELAP Reference-Based Pricing Solution A reference-based pricing service that reprices medical claims for self-funded employer health plans using a Medicare-based benchmark plus a defined markup, in place of contracted PPO network rates. It is sold to self-funded employers, typically through benefits brokers or benefits consultants, and includes claims auditing, repricing, and integrated member advocacy.
- Pulse Member Portal
Quantifiable outcome
- Reduces total healthcare costs by up to 30% for self-funded employers
- +5 more outcomes
Companies that use ELAP Services
Customer profileNamed customers8 records
Segments3 records
Ideal customer profiles2 records
ELAP Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
ELAP Services partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Imagine Health PartnerscoreImagine Health Partners is integrated into ELAP's member portal for provider searches. Members can search for quality, affordable healthcare providers through this partnership. Penn Medicine can also be found in the Imagine Health search. This partnership provides easy access to affordable quality care for ELAP members.
- CHI HealthcoreDirect partnership with CHI Health for provider search functionality. ELAP members can search CHI Health providers through a dedicated portal at chiproviders.elapservices.com. This partnership supports ELAP's goal of providing easy access to quality, low-cost healthcare at below-market rates.
Scale indicators15 records
Recent moves6 records
Expansion highlights4 records
ELAP Services competitors and assessment
Company assessmentDirect peers
- MedCost: MedCost is a third-party administrator offering claims administration, network management, and cost-containment services for self-funded employers. Comparable to ELAP as a TPA serving the same self-funded buyer segment, with overlapping repricing capabilities.
- Zelis: Zelis is a healthcare cost-management platform offering claims cost containment, network solutions, payments integrity, and RBP-adjacent services. Competitor in the same healthcare cost-containment category with broader product breadth and deeper institutional backing.
- The Phia Group: The Phia Group provides reference-based pricing, claim negotiation, and balance-bill advocacy for self-funded health plans. Targets the same self-funded employer market as ELAP with overlapping claims repricing and member advocacy capabilities.
- Health Cost Strategies: Health Cost Strategies is a reference-based pricing and cost-containment specialist serving self-funded employers. Competes head-to-head with ELAP in the same mid-market employer segment using a comparable RBP methodology.
- Lyric: Lyric (formerly ClaimsXten) provides claims cost-containment, payment integrity, and clinical editing solutions to payers and providers. Competitor in claims-level cost containment with overlapping repricing and audit functionality.
- Imagine360: Imagine360 is a direct competitor offering reference-based pricing and cost-containment solutions to self-funded employers, with a similar model combining claims repricing, member advocacy, and provider-direct contracting. Closest comparable to ELAP in target customer, product architecture, and value proposition.
Broad incumbents
- Sun Life Financial (U.S. Group Benefits): Sun Life Financial's U.S. Group Benefits division provides stop-loss insurance and administrative services to self-funded employers. While primarily a stop-loss carrier, it competes indirectly with ELAP for influence over employer healthcare cost strategy.
- MultiPlan: MultiPlan operates PPO networks and a portfolio of cost-containment services including repricing and negotiation. Larger, publicly listed incumbent whose repricing capabilities overlap with ELAP's claims-auditing and reference-based pricing product.
- UnitedHealth Group (Optum): Optum, UnitedHealth Group's health services arm, provides extensive cost-management, claims editing, and care-navigation services. As the largest healthcare cost-management incumbent, Optum represents the upper bound of competitive pressure on RBP specialists.
- Cigna Group (Evernorth): Through Evernorth, Cigna offers PBM, specialty pharmacy, and care services that increasingly include cost-containment and RBP-adjacent offerings. A large incumbent whose scale and PBM footprint could compete for the same self-funded employer relationships.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
ELAP Services social profiles
Digital presenceELAP Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
ELAP Services leadership team
Management profileNumber of profiles
Profiles5 records
ELAP Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ELAP Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ELAP Services
What does ELAP Services do?
ELAP Services provides reference-based pricing (RBP) solutions that help self-funded employers pay fair, transparent prices for healthcare by repricing medical claims against Medicare-based benchmarks plus a defined markup, rather than relying on PPO network contracted rates. The company audits and reprices claims, defends members against balance billing, and bundles member advocacy services including legal representation, clinical guidance, and provider navigation for employees of self-funded health plans. Its offerings are sold to employers directly and through certified benefits brokers and consultants.
Is ELAP Services a public or private company?
ELAP Services is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was ELAP Services founded?
ELAP Services was founded in 2007. It employs 101 to 250 people.
Where is ELAP Services based?
ELAP Services is headquartered in Wayne, United States, in the North America region.
How does ELAP Services make money?
One revenue line is on record: reference-Based Pricing Administration.
Who are ELAP Services's main competitors?
Direct peers on record are MedCost, Zelis, The Phia Group, Health Cost Strategies, Lyric and Imagine360. Broad incumbents are Sun Life Financial (U.S. Group Benefits), MultiPlan, UnitedHealth Group (Optum) and Cigna Group (Evernorth).
Does ELAP Services have an API?
No public API is recorded for ELAP Services.
What industry is ELAP Services in?
ELAP Services's product category is Healthcare Cost Containment Services. Its primary akta.pro industry code is HLAEANAL, Reference-Based Pricing (RBP) / PPO Alternative Networks. Its NAICS code is 524292 and its SIC code is 6324.