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Sage Technologies has been providing self-funded group health administration to our
clients for over twenty five years. Over time, we have become a recognized leader
in the industry, helping our clients find innovative ways to control spiraling health
care costs.
Claims Receipt and Adjudication
Dedicated benefits team is assigned to each plan.
92% of claims are received electronically
45% of claims are auto-adjudicated the same day
received.
Software automatically detects unbundling, up-coding,
age, and gender appropriateness etc…
Network and Non Network Discounting
Our clients contract with over 30 different PPO Networks including: PHCS, Beech Street,
Healthlink, HFN, Pro America, Multiplan, and Sagamore. We work closely with
these vendors to apply the contracted discounts to the claims file. We assist
our clients in determining which network best meets their needs so that they can sign
the appropriate contract.
Sage Technologies reviews all out-of-network claims for potential discounting or negotiations.
We are able to obtain repricing on 60% of out of network claims achieving an average
discount of 22%. If a discount is not available, contact is made with the provider
to attempt negotiations.
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