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