What will happen if claims are not sent to AHC or I-AHC when they should be?

There are several results from claims not being sent to AHC. These include:

  • Lower reimbursements
  • Higher out of pocket expense for patients
  • Frustrated providers and patients when they try to correct the claims
  • Delayed reimbursements
  • Increased cost
  • Lower fee schedules will be proposed by network affiliates
  • Opportunity for less provider friendly companies to secure contracts