What Epic Health Solutions does

Epic Health Solutions (DBA "Epic Americas") is a Dallas, Texas-based private healthcare network solutions and medical assistance provider formed in 2017 through the merger of National Healthcare Solutions, Inc. (NHSI, founded 1992) and Ardent Assistance (founded 2017), supplemented by affiliated VIP Universal Medical Insurance Group's (VUMI) exclusive Latin American proprietary network. The company serves international travelers, expatriates, students, and International Private Medical Insurance (IPMI) clients across the United States, Canada, and Latin America through B2B partnerships with insurance carriers, employers, and benefits administrators. Headcount is reported at 101–250 for the Epic entity and 450+ across the broader affiliated enterprise group.

The core platform is anchored by a proprietary U.S. PPO network providing access to 6,200+ acute care hospitals, 500,000+ physicians, 1,587 convenience clinics, and 1,074 urgent care facilities, supplemented by VUMI's proprietary Latin American provider network and affiliations with Aetna and United Healthcare. Operational capabilities include 24/7 multilingual medical assistance, telemedicine, house call doctor service, ground and air ambulance transport, medical escorts, and case management for complex conditions (transplants, oncology, neonatology, renal failure, rehabilitation, pain management). The VerusRx in-house pharmacy benefits management (PBM) subsidiary (Verus RX LLC and Verus RX II LLC) integrates pharmacy and medical data to manage specialty drug costs (less than 1% of prescriptions representing nearly 40% of total drug costs). A proprietary UCR (Usual, Customary and Reasonable) cost containment methodology is applied before guarantee of payments. Self-service web portals serve agents, members, employers, and providers, with dedicated account management throughout implementation and the ongoing client relationship.

Epic generates revenue through four streams: (1) healthcare network access solutions (recurring/subscription model), (2) medical management and assistance services (managed services), (3) VerusRx pharmacy benefits management fees (managed services), and (4) administration services for expatriate populations (enrollment, funding, reporting, subrogation). Pricing is quote-based and not publicly disclosed. Distribution is direct enterprise field sales with dedicated account management teams, supplemented by inside sales for mid-market buyers. The company maintains GDPR, EU-U.S. Data Privacy Framework, and UK Extension certifications across all operating subsidiaries, enabling compliant cross-border personal health data processing essential to its international IPMI service model.

Name

Epic Health Solutions

Legal name

Epic Health Solutions

Website

https://epicamericas.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

101–250 employees

Short description

Epic Health Solutions is a Dallas-based private healthcare network management and medical assistance provider offering proprietary U.S. and Latin American PPO network access, VerusRx in-house pharmacy benefits management, and 24/7 multilingual case management across the Americas for insurance carriers, employers, expatriates, travelers, and IPMI clients.

Ownership category

akta.pro rank

Product category

Healthcare Network Management Services

NAICS

Ambulatory Health Care Services (621), Health Care and Social Assistance (62)

SIC

Services-Health Services (8000), Services-Home Health Care Services (8082)

akta.pro primary industry

Primary Care & General Medicine Virtual Care (HLALAAAA)

akta.pro secondary industry

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Healthcare network solutions
• Medical assistance services
• Pharmacy benefits management
• Cost containment services
• International healthcare coverage

Headquarters

HQ city

Dallas

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Healthcare Network Access Solutions: Providing access to proprietary PPO networks across the Americas including 6,200+ hospitals, 500,000+ physicians, convenience clinics, and urgent care facilities. Revenue generated through network access fees and negotiated provider rates.
2. Medical Management and Assistance Services: 24/7 assistance services including medical management, large case management, utilization review, medical transports (ground/air ambulance), telemedicine, house call doctor service, and non-medical assistance. Revenue through service fees integrated with healthcare plans.
3. Prescription Benefits Management (VerusRx): Pharmacy benefits industry services integrating pharmacy data with medical management. Handles specialty drugs representing nearly 40% of total drug costs despite less than 1% of prescriptions. Revenue through pharmacy benefit management fees.
4. Administration Services: Complete administration services including enrollment, funding, reporting, and subrogation for expatriate and international populations.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Epic Health Solutions provides healthcare network solutions and medical management services for international clients across the Americas. The company offers access to a proprietary U.S. PPO network of 6,200+ hospitals and 500,000+ physicians, in-house pharmacy benefits management (VerusRx), 24/7 telemedicine and house call doctor services, medical transportation, case management, and comprehensive administration services for expatriate and international populations.

Product overview

Epic Health Solutions is a healthcare network solutions provider offering a unified platform combining proprietary networks, cost containment tools, and management services across the Americas. The portfolio centers on the U.S. PPO Network (access to 6,200+ hospitals and 500,000+ physicians) complemented by VerusRx (in-house pharmacy benefits management), comprehensive medical management services (telemedicine, medical transport, house calls), and major medical case management. Additional modules include self-service web portals for agents/members/employers/providers, 24/7 customer service with dedicated account management, and detailed reporting/analytics. The company serves travelers, expatriates, students, and IPMI clients through a combination of network solutions and administrative services.

Differentiator

Problem solved

Functional benefit

Brands

• VerusRx: In-house pharmacy benefits management solution that integrates pharmacy data with medical management to offer high standards of care with clinically appropriate therapies.

Products and services

• U.S. PPO Network

Quantifiable outcome

• Access to 6,200+ acute care hospitals, 500,000+ physicians, 1,587 convenience clinics, and 1,074 urgent care facilities across the Americas
• +1 more outcomes

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Nine partnerships are on record, tiered core and major.

• National Healthcare Solutions, Inc. (NHSI)coreStrategic or Co-development Partner · 1 January 2017NHSI was founded in 1992 and was an industry leader specializing in cost control, claims management, and patient navigation. NHSI's exclusive proprietary networks and national affiliates network navigated the complex U.S. healthcare landscape. NHSI merged with Ardent Assistance to form Epic Health Solutions.
• Ardent AssistancecoreStrategic or Co-development Partner · 1 January 2017Ardent Assistance was founded in 2017 and gained a strong reputation for unequaled assistance and case management. Their multilingual call center assisted insureds 24/7, monitoring patient medical conditions from emergency onset with highly qualified medical teams reviewing and approving tests and surgeries. Merged with NHSI to form Epic.
• VUMI® (VIP Universal Medical Insurance Group)coreStrategic or Co-development PartnerVUMI® is an award-winning health insurance company that has built an unsurpassed network of providers offering Latin America's best healthcare options. VUMI's exclusive Latin American network complements Epic's U.S. operations, enabling solutions across all the Americas not available elsewhere in the marketplace.
• AetnamajorTechnology or IntegrationAetna is part of Epic's national affiliates network, providing additional network access and integration for U.S. healthcare coverage solutions.
• United HealthcaremajorTechnology or IntegrationUnited Healthcare is part of Epic's national affiliates network, providing additional network access and integration for U.S. healthcare coverage solutions.
• VIP Administration Services, LLC dba VUMI GroupcoreTechnology or IntegrationU.S. subsidiary of VUMI that adheres to EU-U.S. Data Privacy Framework Principles. Part of the Epic organizational structure under the parent company.
• Assured Benefits Administrator, Inc.coreTechnology or IntegrationU.S. subsidiary that adheres to EU-U.S. Data Privacy Framework Principles. Part of Epic's organizational structure providing administrative services.
• Verus RX, LLCcoreTechnology or IntegrationPharmacy benefits management subsidiary providing in-house PBM solution. Adheres to EU-U.S. Data Privacy Framework Principles. Epic's proprietary pharmacy benefits offering.
• Verus RX II, LLCcoreTechnology or IntegrationPharmacy benefits management subsidiary. Adheres to EU-U.S. Data Privacy Framework Principles. Additional VerusRx entity for pharmacy benefits operations.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Global Excel Management: Cost containment, claims management, and medical assistance provider serving international health insurers and IPMI clients. Direct comparable in the PPO network access, UCR pricing, and case management services that form Epic's core offering.
• Generali Global Assistance (now part of Anthem): Provider of travel health insurance and 24/7 assistance services including emergency medical assistance, evacuation coordination, and concierge support. Closely comparable in the traveler/short-term international medical assistance layer of the market.
• GeoBlue: Travel and expatriate health insurance provider licensed by Blue Cross Blue Shield, offering international PPO network access, telemedicine, and evacuation services. Directly competes for international student, traveler, and expat segments across the Americas.
• International SOS: World's largest medical assistance and travel security services company providing 24/7 multilingual assistance, medical evacuations, telemedicine, and case management. Direct competitor in the medical assistance and IPMI services layer that complements insurance.

Broad incumbents

• Bupa Global: International health insurer covering expatriates and global travelers with multi-country network access and 24/7 multilingual assistance. Highly comparable IPMI product structure with similar target demographics across the Americas.
• UnitedHealthcare Global: UnitedHealth Group's international health insurance and assistance division serving expatriates and travelers with global network access, medical management, and evacuation services. Directly comparable product suite (PPO networks, case management, telemedicine) at far greater scale, and also one of Epic's U.S. network affiliates.
• AXA Global Healthcare: International health insurance division of AXA providing IPMI and expat coverage with network access across the Americas. Comparable bundled offering targeting similar expatriate and international traveler customer base.
• Allianz Care: International health insurer providing IPMI plans for expatriates, students, and travelers with global network access and 24/7 assistance. Comparable product structure with overlapping customer segments in the Americas.
• Cigna Global Health: International health insurer providing IPMI, expat health plans, and global medical assistance with extensive network access across the Americas and worldwide. Comparable customer segments (expatriates, international travelers) and bundled service offering.
• Aetna International (CVS Health): CVS Health's international health benefits division providing IPMI and expatriate health coverage globally. Offers a similar bundle of network access, medical management, and member services; also a network affiliate partner to Epic, illustrating both collaboration and direct competition.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/Epic_Americas
• LinkedInlinkedin.com/company/epicamericas

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Epic Health Solutions