PPO (Preferred Provider Organization) Services

With ever-increasing demands being placed on our healthcare system more and more Preferred Providers Organizations (PPO) are searching for innovative cost saving solutions.

Many PPO and other healthcare companies are selecting to work with A&G Healthcare Services. Our clients can save up to 50% on claims costs using our fully EDI ready, HIPAA compliant PPO processing systems/ services! We are leaders in out-of-area/ network claims, bill reviews, negotiated discounts, and healthcare funding. 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.

PPO +PLUS: Combines A&G’s management and intermediary network services (primary PPO network) with its developed “out-of-area” product into one universal combined savings machine. It will help lower the cost of claims processing while delivering seamless results.

i-Trex: A fully automated, single-source solution for repricing and processing Primary and Secondary PPO medical claims from multiple healthcare networks and complete mailroom outsourcing to help reduce your cost of operations.

Amera-Net Travel Wrap PPO Network: Specifically designed to address the needs of travelers, and to help control the skyrocketing costs of out-of-area and out-of-network claims. It combines with or “wraps around” your selected Primary PPO network for maximum benefits and savings.

1-2-3 Reprice: Simplifies and reduces the cost of repricing medical claims for PPOs and Payors by increasing efficiency using a paperless electronic program. No need to spend money on additional hardware or software as it uses a high-speed Internet connection to deliver a fast, easy-to-use method for repricing medical claims.

Multiple Application Repricing System /MARS 3.0: has functionality and horsepower to support hundreds of PPO fee schedules and associated demographic data. It is capable of receiving EDI claims in HIPAA compliant X-12 (4010) format, along with other proprietary data formats via secure connections and high speed transaction processing.

A&G Healthcare has attained official re-pricing center status for many of the nation’s largest and most respected PPOs. Since A&G does not work exclusively with any one PPO, we can help you select the best fit for your and your client group needs.

Call 972-312-8589 x112 or email for more information about our PPO services.