A&G Healthcare Services to Provide Claims Repricing For Benefit Systems and Services, Inc. (BSSI)

A&G Healthcare Services announced recently a long-term agreement to provide secondary network repricing for all of Benefit Systems and Services, Inc. (BSSI) out of area/network claims. BSSI is a third party administrator (TPA) that provides benefit administration services for health, dental, disability, prescription drug, vision, and Section 125 plans for over 130 clients, covering 65,000 lives.

Dallas, TX (PRWEB) January 9, 2004 --A&G Healthcare Services announced recently a long-term agreement to provide secondary network repricing for all of Benefit Systems and Services, Inc. (BSSI) out of area/network claims. BSSI is a third party administrator (TPA) that provides benefit administration services for health, dental, disability, prescription drug, vision, and Section 125 plans for over 130 clients, covering 65,000 lives.

A&G Healthcare Services is a national leader in providing cost containment strategies. Their PPO repricing services are marketed under the brand name of i-Trex (Integrated Transaction Repricing Exchange). Repricing and electronic processing of primary and secondary PPO claims provide clients with many workflow efficiencies and significant dollar savings.

A&G Healthcare will provide BSSIs repricing services through its advanced Multiple Application Repricing System (MARS). MARS uses EDI technology to provide high speed, high volume claims repricing via the Internet. All MARS Internet transactions are HIPAA compliant. BSSI processes 2,500 claims per day of which 30 percent are out of area/network. It is estimated that the daily repricing of these 750 claims will save BSSI customers over $7 million per year.

BSSI uses its proprietary DataPlus claims processing system to process the repriced claims. DataPlus is a sophisticated, state-of-the-art claims processing and adjudication system that was developed inhouse by BSSI. BSSI also uses A&G Healthcares Amera-Net national travel wrap PPO to wrap its primary network which allows A&G to reprice 100 percent of BSSIs out of area/network claims.

We have known for sometime that the key to success in the claims repricing business was electronic claims processing. To that end we have invested millions of dollars to support this process for our clients," said Norman Payson, Chairman, Founder and CEO of A&G Healthcare Services. Our technology investment has allowed us to streamline our claims repricing process, giving our payors the required turnaround time to meet their clients needs," Mr. Payson continued.

As a leader in benefit adminstration solutions, we are always looking for ways to improve service to our clients. A&Gs repricing technology allows us to lower costs and speed turnaround times for our clients. This is a win-win situation for everyone," said David H. Lloyd, President of Benefit Systems and Services, Inc.

We are very pleased that BSSI can use our technology to improve services to their clients. We have built our entire business on improving services and reducing costs for the companies who use our technology solutions," said Kent McRee, Senior Vice President of Business Development at A&G Healthcare Services.

About A&G Healthcare Services
A&G Healthcare Services, headquartered in Plano, TX, is a medical cost containment company serving more than 600 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. A&G provides its clients with a complete suite of services that include membership ID card fulfillment to insure proper steerage with logos placed on each individual membership card. A&G has served the healthcare payor market for over eight years. For more information, please call Suzie Acosta at (972) 312-8589 Ext. 172 or visit http://www.aghealth123.com.

About BSSI
BSSI founded in 1986 and headquartered in Westmont, IL, a suburb of Chicago, is a leader in benefit administration and management system solutions. As the leader, BSSI provides comprehensive and cost-effective benefit administration services for health, dental, disability, prescription drug, vision, and Section 125 plans. BSSI also provides superior software solutions to organizations that choose to manage their own employee benefits and claims processing. For more information, please call (800) 423-1841 or visit www.benefit-sys.com.
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