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Insured Claim System

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Bill Review

 
Samle HCFAOver the years, Anchor Claims Management (ACM) has saved their non-subscription clients millions of dollars in medical bill reductions.

These savings amount to almost 40% off of the original billed amount.

If you are handling your own claims for a Self-Insured Plan or a high Self-Insured Retention Plan and are not auditing your bills, you are paying too much for your medical treatment.

Let us help you out.  Here is how easy it can be.

If you have a policy placed through our agency, Combined Independent Agencies, you can mail or fax the bill to us and indicate, "bill review only".  We will audit the bill and send you an Explanation of Benefits (EOB) with a recommended payment amount within 7-14 days.

The procedure for a Self-Insured Plan would be the same as above, once you have signed a simple one-page contract.

For our services, Anchor Claims Management charges 20% of savings.  Simply put, we only charge you if we save you money.  If there is no savings, there is no charge.  This way, you can send us all of your bills or pick and choose which ones you send.

Medical bills are audited in accordance with usual, customary and reasonable guidelines, which most often include, but are not limited to, application of the medical fee guidelines published by the Texas Workers' Compensation Commission (TWCC).

 
Anchor Claims Management (ACM) is paid 20% of total savings.  The savings is taxable.  The PPO is paid 18% of PPO Savings.  It is not taxable.
 
Example:
Amount Billed: $100.00
Reduced: $ 80.00
PPO Savings: $ 10.00
Recommended Allowance: $ 70.00
Total Bill  Savings: $ 30.00
 
20% of Savings to Anchor
Total Savings: $ 30.00
20% of savings: $  6.00
Tax (.0825): $   .50
PPO is paid 18% of PPO Savings
PPO Savings: $ 10.00
18% of Savings: $  1.80
Not Taxable: $   .00
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Total Fees:

$  8.30  (6.00 + .50 + 1.80)

Click here to view a sample Explanation of Benefits (EOB).

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