Managed Care Repricing

More and more health care providers and payors are turning to managed care repricing services/ solutions to help streamline processes, improve productivity, and increase profits.

Until recently, the simple process of repricing was bogged down in time extensive paper and bureaucratic processes. A conservative estimate is that using the paper repricing method, it costs managed care organizations one-dollar to process a single claim! Today, thanks to computers and the Internet, the whole managed care repricing process can be automated.

At A&G Healthcare Services we offer industry leading managed care repricing solutions that result in better office efficiencies and improved bottom-lines. Our clients save anywhere from 15% to 50% using our fully EDI ready and HIPAA compliant solutions! We are leaders in the provision of out-of-area and network claims, negotiated discounts, bill reviews, funding, and medical audits.

We have access to 55,000 hospitals/ clinics and more than 1-million healthcare providers through one of the largest medical networks in the U.S. and offer everything from affordable, easy to use stand-alone repricing solutions to powerful, fully integrated managed care platforms that meet the needs of any managed care repricing organization.

Amera-net Travel Wrap PPO Network is a managed care repricing solution addressing the needs of travelers. It helps to control costs for of out-of-area and out-of-network claims and “wraps around” or combines with your selected Primary PPO network.

Multiple Application Repricing System is a managed care repricing solution that can support hundreds of PPO fee schedules and is capable of receiving EDI claims in HIPAA compliant X-12 format and other proprietary data formats.

i-Trex is a single-source managed care repricing solution for processing Primary and Secondary medical claims from multiple healthcare networks… ideal for TPAs, insurance companies, self insured, re-insurance companies, and labor union groups.

1-2-3 Reprice is a managed care repricing solution that simplifies and reduces the cost of repricing medical claims for PPOs and Payors. Uses a paperless process to provide a simple, fast, easy-to-use method for repricing medical claims.

Call 972-312-8589 x112 or email info@aghealth123.com to learn more about A&G’s managed care repricing solutions.