Custom Blended Networks
AHP contracts with multiple strong local, regional and national PPO networks in the Commercial Health, Workers’ Compensation and Auto Medical markets. Using a proprietary process, we evaluate each client’s unique claims experience and leverage our network partnerships to customize an integrated network solution designed to deliver the greatest impact in penetration and savings. Clients can choose to maintain and manage some or all of their existing network relationships (while we expand our provider network), or they choose to let AHP manage their entire provider network solution through its magnitude of partnerships.
AHP provides a number of different methods for clients to transmit claims in a safe and secure fashion. Clients can submit claims through any of the following methods:
- EDI HIPAA Compliant 837 Map, using 5010 Format
- XML Web Services
- Secure FTP Site
- 24 Hour Access to Online Entry Tool
- Secure E-mail or Fax
Clients work with their dedicated AHP Implementation Manager to determine and setup the best routing method for their business.
Contracting with providers takes a unique understanding of the complexities within the managed care delivery system. In addition to requiring expertise in provider contract negotiation, the process can be very time consuming and pull staff away from managing existing provider relationships. The team at AHP has been contracting with providers across the country for more than 15 years, including staff members who’ve built networks for the largest PPOs in the country over the past 25 years. Let AHP leverage its experience and provider relationships to complement your existing network development strategy or improve your efforts through consultation services with our experts.