All payers benefit from Medical Bill Review

A Texas based TPA

• 85% of all claims reviewed had adjustments
• $1.96M in savings adjustments
• Average claim adjusted $44,847
• $7,000 average savings per claim reviewed

A large reinsurance carrier

• 97% of all claims reviewed had adjustments
• $1.43M in savings adjustments
• Average claim reviewed $236,985
• $47,596 average savings per claim reviewed

An Alabama union group

• 100% of all OON claims reviewed had adjustments
• $376,196 in savings adjustments
• Average claim reviewed $22,935
• $10,449 average savings per claim reviewed

An Arkansas TPA... (small group - preliminary experience)

• 100% of all claims (17) had adjustments
• $311,000 in savings adjustments
• Average claim adjusted $37,423
• $18,297 average savings per claim reviewed

AMPS’ reviews have an 89% "hit" rate. AMPS' reviews have resulted in an average cost savings of 23% and an average savings of $12,000 per claim. In-Network claim adjustments have resulted in a 26.5% incremental savings above the existing PPO discount.