Question 1

What services does AMPS provide?

Accepted Answer

AMPS provides three core solutions: PriceDynamix for claim repricing, ClaimInsight for claims editing and payment integrity, and Drexi for pharmacy benefit management.

Question 2

Who can benefit from AMPS solutions?

Accepted Answer

AMPS serves self‑insured employers, health plans, TPAs, and individual market aggregators throughout the United States.

Question 3

How much can organizations save with AMPS solutions?

Accepted Answer

ClaimInsight alone saves clients an average of $5,000,000 per 100,000 members annually through precise claims editing and physician‑led reviews.

Question 4

What is ClaimInsight's High-Dollar Bill Review process?

Accepted Answer

ClaimInsight's High‑Dollar Bill Review (HDR) is a comprehensive Medical Director review of high‑dollar complex claims, featuring physician‑led expertise and line‑by‑line itemized reviews that uncover inappropriate use of modifiers and billing inaccuracies. This process is part of our cutting‑edge claims editing technology.

Question 5

How much can organizations save with ClaimInsight?

Accepted Answer

ClaimInsight saves clients an average of $5,000,000 per 100,000 members annually. Specific case studies show $8.5 M savings with a 160K life Medicaid Plan and $20 M savings with a 500K life employer plan, with 69.5% savings on in‑network reviews and 7.5% on out‑of‑network reviews.

Question 6

What makes PriceDynamix different from other repricing solutions?

Accepted Answer

PriceDynamix delivers unparalleled savings through proprietary technology that combines member‑centric care with unmatched accuracy. It ensures fair pricing, significant cost reductions, and creates a dynamic healthcare experience for both clients and members.

Question 7

How does Drexi's honest pricing model work?

Accepted Answer

Drexi provides pure honest pricing by encouraging pharmacies to compete for your business. Our transparent model eliminates hidden fees and behind‑closed‑doors pricing, allowing members to see real‑time prescription costs at local pharmacies and save money through competition.

Question 8

What types of organizations does AMPS serve?

Accepted Answer

AMPS serves self‑insured employers, health plans, third‑party administrators (TPAs), individual market aggregators, healthcare payors, and insurance companies throughout the United States.

Question 9

What is the Intelligent Policy Update (IPU) feature in ClaimInsight?

Accepted Answer

The Intelligent Policy Update (IPU) automates payment policy rules to reduce medical spend without high contingency fees. It uses an advanced automated rules engine and pattern recognition to maximize value through comprehensive editing capabilities.

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