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PPO Network

Active Care Management

http://www.activeclaims.com

ACM delivers cost-effective, timely healthcare management services, while achieving the highest standards of quality assistance. ACM's telephonic triage process proactively facilitates the delivery of appropriate preventative interaction, which substantially reduces the misuse, and duplication of service. ACM's registered nurses, assistance coordinators, and physicians are available twenty fours hours a day, seven days a week, three hundred and sixty five days a year. This flexibility offers our clients immediate access to front-line medical assistance specialists anytime, from anywhere in the world. ACM offers clients full re-pricing services through our proprietary Canadian, US, and International PPO networks. ACM through its wholly owned claims re-pricing corporation Global Health Care Network (GHCN) hold direct contracts with key medical providers around the world. To augment ACM/GHCN direct contracts and provide our clients with comprehensive claims discount coverage, we have established an exclusive alliance with Access Healthcare International, a wholly owned provider network of Strategic Claims Management International. ACM clients have access to real time data and can monitor Case Management, Claims Re-pricing, Claims Management and Processing status.

  • 12/8/2013
  • 5
  • 0

American Dental Professional Services LLC

http://www.amdps.com

ADPS is a wholly owned subsidiary of American Dental Partners, Inc. a dental practice management company whose purpose is to become the leading business partner to dental group practices in the nation. It's sole commitment and focus is to bring value to dental group practice. Headquartered in Milwaukee, Wisconsin, American Dental Professional Services has a dedicated staff of Customer Service Representatives to serve our clients and members Monday through Friday from 7:30am to 6:00pm Central Standard Time. A Network Development team continues to expand our Dental Network on a daily basis. Our Sales and Marketing team constantly expand membership in our Dental Programs along with promoting our TPA services. These efforts support our commitment to provide a dental health care system that brings together members and providers of dental care in a variety of ways. Whether you are an employer looking for an affordable dental plan, an individual that would like to achieve savings on your dental needs, or an insurance company that would like to out-source your dental claims processing and administration, American Dental Professional Services has something to offer you, because we know dental!

  • 12/8/2013
  • 5
  • 0

A&G Healthcare Services LLC

http://www.aghealth123.com

In its early days, A&G served as an outlet for multiple location employers who did not have access to traditional managed care outlets. In the process of developing this service, A&G created relationships with local, regional and national networks from around the country. Having built such an infrastructure, A&G needed to diversify its product base to "feed" the network arrangements that had been completed. A&G clients had a common complaint, and that was the lack of a methodology to achieve "managed care" or PPO discounts when employees (insureds) were confined or sought services outside the geographic parameters of the "primary" healthcare network. Having experience in small volume multi-locationed services, A&G felt that filling this need was a natural extension of its services and developed its "out of area" product complete with patient identification and provider notification. Today, many years after entering into the managed care environment(since 1994) with only the thought to serve and save, A&G has grown from three employees into a nationally recognized cost containment leader with 65+ employees headquartered in Plano, Texas. A&G's services have evolved from the hit and miss world of multiple locationed claims to being a cost containment leader in out-of-area & network claims, negotiated discounts and bill review and audit services. All of these services are managed by a state-of-the-art processing system that is Internet enabled, fully HIPAA compliant and EDI ready.

  • 12/8/2013
  • 5
  • 0

World Access

http://www.worldaccess.com

World Access is a leading provider of insurance and assistance services, covering more than 155 million people worldwide. We are dedicated to the highest levels of service and value to our clients and their customers. World Access products are available through top travel agencies, credit card issuers, on-line travel suppliers, tour operators, cruise lines and insurance companies. As a member of the Mondial Assistance Group, World Access is part of the world's largest travel insurance and assistance company.

  • 12/8/2013
  • 6
  • 0

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