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A&G's Revolutionary
XML Claims Repricer
A real time solution for repricing your Out-of-Network Claims
It's Fast & Easy
AG XML is our newest real time EDI desktop repricing application, no more complicated,costly, time-consuming IT implementations. It's our "AG XML Claims Repricer". If you can extract claims to a file, regardless of the format (Standard 837, MS Access, MS Excel, Text, etc.), our desktop application can reprice, track and return those claims, in the format of your choice, in real-time using secure XML Web Services and Smart-Client technology. No FTP pushing and pulling. No wondering where files and/or claims are. The files never leave your office. Simply drag a file from Windows Explorer and drop it into the application and repricing begins immediately, based on your preferences. A&G Delivers
Best Results on Your Out-of-Area/Network Claims. 85% - 95% Hit Ratio - 24% Average Savings.
A&G Healthcare Services was started in 1995 and has evolved from a niche cost containment vendor to a full service benefit cost management company with emphasis on PPO access management and providing services as a PPO access intermediary for Primary and Secondary Claims repricing.
A&G’s
“out-of-area and network” -
Amera-Net is one of the largest medical networks in the United States, with access to 65,000 hospitals and clinics, and more than one million healthcare providers. For claims that do not qualify for PPO repricing, A&G offers an effective in-house fee negotiation service.
When you Travel...
Recognizing how many people travel throughout the United States for work or pleasure, Amera-Net’s services have been specifically designed to address the needs of travelers and to help control the skyrocketing costs of out-of-area and out-of-network claims. A&G/Amera-Net’s Travel Wrap PPO Network combines with or “wraps around” your selected Primary PPO network for maximum benefits and savings. We continually strive to provide the most extensive PPO network coverage in the country, and deliver timely results through a single-source solution.
For
Primary and Secondary Claims Repricing
Now you can access more than 200 networks (and growing); offer your clients the benefit of substantial savings on medical claims anywhere in the United States; and reduce your cost of operations, all at the same time.
We offer a front-end healthcare claims solution that includes options for complete mailroom outsourcing, scanning, imaging and OCR (data conversion), clearinghouse receipt of EDI claims on behalf of the payor, claim edits for eligibility and provider matching, and Primary and Secondary PPO repricing.
We support the receipt and transmission of claims electronically – either through a traditional clearinghouse, or we can convert your paper claims to EDI through OCR technology with scanning and imaging tools, or you may use our Web-based application 1-2-3 Reprice. And of course we still accept claims by mail and fax.
A&G and its affiliate companies are a fully HIPAA compliant solution. The Health Insurance Portability and Accounting Act (HIPAA) contains federal regulations governing the confidentiality and privacy of Patient Healthcare Information (PHI) maintained by health plans and their business associates.
When you rely on the Integrated Transaction Repricing Exchange (i-Trex) for Primary and Secondary medical claims repricing, you can be confident that all patient healthcare information, along with data transaction sets, are kept in compliance with HIPAA mandates. That’s because we have dedicated staff and time-proven processes. Why worry about the risks of non-compliance when you can let A&G handle these requirements for you?
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