Identify and recover revenue from unpaid claims while uncovering insights to aid future payer contract negotiations.

Payment variance and underpayments are silent revenue killers that can represent millions of dollars in unrecognized net revenue. It’s estimated that 3-11% of all insurance claims are underpaid. Identification and resubmission of those underpaid claims offer a tremendous opportunity for organizations to improve their revenue stream. AGS can help identify and review underpaid claims to uncover payer processing issues or identify contract management tool optimization. Discover how your organization can pursue full-eligible reimbursements for services rendered and gain insights to optimize future contracts without negatively impacting your day-to-day operations and responsibilities.

Get access to the resources you need to quantify and recoup unrecognized earnings.

• Precise claim adjudication, reviews of underlying causes, and follow-up for correction of underpayments.
• Individual resubmission processes.
• Identify appeal opportunities and file bulk-appeals.

Benefits

Collect What You Deserve Our team carefully reviews your claims and contract terms to identify payment errors, and processes appeals to ensure you collect on every eligible dollar owed.

Gain Insights Into Payer Policies AGS Health conducts comprehensive payer contract reviews to ensure accuracy and uncover valuable insights for improving revenue and enhancing operational performance.

Prevent Future Underpayments To help avoid future underpayments, we supply customers with the documentation, reporting, and recommendations they need to negotiate better contract terms with payers.