Medical Claims Repricing

Streamlined operations, optimized processes, reduced costs, and increased profits are some of the factors in the rising popularity of using medical claims repricing services and solutions.

At A&G Healthcare Services we understand the importance of having efficient claims processing systems and that healthcare payers and providers have their own unique claims management goals and objectives. We offer medical claims repricing solutions and services tailored to fit the specific needs of each client. As claims continue to grow in complexity, quality medical claims repricing can help you to improve your bottom line and customer service.

A&G Healthcare Services is an industry leader in the provision of cost-effective medical claims management services/ solutions. We are part of one of the largest medical networks in the U.S. with access to 55,000 hospitals and clinics, and more than 1-million healthcare providers.

We are recognized cost containment and medical claims repricing specialists highly proficient in out-of-area and network claims, medical audits, negotiated discounts, medical bill reviews, and healthcare funding. Through repricing and reducing medical claims –we typically save our clients anywhere from 15% to 50% on their healthcare claims costs! And for medical claims that do not qualify for Preferred Provider Organization (PPO) repricing, we provide secondary network solutions, such as, an in-house fee negotiation service.

i-Trex is a single-source medical claims repricing solution for processing Primary and Secondary medical claims from multiple healthcare networks.

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

Amera-Net Travel Wrap PPO Network is a claims repricing solution that addresses the needs of travelers. It helps to control the costs of out-of-area and out-of-network medical claims. It “wraps around” or combines with your selected Primary PPO network.

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

Call 972-312-8589 x112 or email info@aghealth123.com to learn more about our medical claims repricing services and solutions.