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A&G Healthcare Services Announces Contract with Corporate Systems Administration (CSA), A TriZetto Qic Link User. Contract provides multiple solutions including Electronic (EDI) secondary PPO claims repricing services and much more
A&G Healthcare Services, a national leader in technology based repricing and cost containment solutions, and Corporate Systems Administration (CSA), based in Johnson City TN, recently finalized a multi-year agreement. Under the terms of the agreement, A&G will provide electronic repricing services to CSA, including secondary PPO repricing through Amera-Net, A&Gs National Travel Wrap PPO network for coverage of out of network related claims. A&G, using its proprietary mapping software, will successfully interface with TriZettos claims adjudication systems, allowing CSA to send and receive repriced claims electronically (EDI). CSA will participate in A&Gs shared savings program, in which they have the opportunity to generate enough revenue to pay for the claims exchange charges and other front-end and administrative costs a win-win for all parties.
Dallas, TX July 8, 2004 -- A&G Healthcare Services, a national leader in technology based repricing and cost containment solutions, and Corporate Systems Administration (CSA), based in Johnson City TN, recently finalized a multi-year agreement. Under the terms of the agreement, A&G will provide electronic repricing services to CSA, including secondary PPO repricing through Amera-Net, A&Gs National Travel Wrap PPO network for coverage of out of network related claims. A&G, using its proprietary mapping software, will successfully interface with TriZettos claims adjudication systems, allowing CSA to send and receive repriced claims electronically (EDI). CSA will participate in A&Gs shared savings program, in which they have the opportunity to generate enough revenue to pay for the claims exchange charges and other front-end and administrative costs a win-win for all parties.
A&Gs cost containment PPO repricing services are marketed under the brand name of i-Trex (Integrated Transaction Repricing Exchange).
This program is expected to generate significant cost efficiencies and savings for CSAs customers. CSA is a third-party administration firm that helps employers offer affordable and efficient health care coverage. Services include the design of medical, dental, vision and prescription drug programs, workers compensation and disability claims administration and employee benefits consulting. Online services include benefit enrollments, changes and terminations, benefit information, claims status and customer service. In addition, CSA offers links to other sites for medical provider listings and health information. CSA provides benefit administration services throughout the southeastern US for over 100,000 member lives.
We began using A&Gs services because we discovered that by using EDI and other A&G Services, we could improve our work flow and save money for our clients. In addition, A&G saves CSA significant dollars in processing costs, said
Diana Pearce, Vice President of Operations at CSA. Its just a good business decision for us to add A&Gs services to our capabilites, Ms. Pearce continued.
The environment for claims processing and claims repricing is changing dramatically, and payor organizations need the efficiencies produced by our many services and electronic claims repricing, said Norman Payson, Chairman, Founder and CEO of A&G Healthcare Services. Our full range of services will save money for CSAs clients, Mr. Payson added.
About A&G Healthcare Services
A&G Healthcare Services, headquartered in Plano, TX, is a medical cost containment company serving more than 400 payor organizations by providing repricing and fee negotiation services for claims that have been determined to be out-of-area or network. A&G also owns and operates a national travel wrap PPO network named Amera-Net which provides superior coverage for payor clientele members. Amera-Net is a recognized and accepted PPO travel wrap network for over eight years with an established logo for ID cards, which insures proper steerage to providers. A&Gs customers can take advantage of a shared savings program which can help pay for most or even all of the front-end EDI costs. A&G has served the healthcare payor market for over eight years. For more information, please call Steffanie Gordon at (972) 312-8589 Ext. 112 or visit http://www.aghealth123.com.
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