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The AFP Program, the flagship product of PMCS, was created as a solution to facilitate the out-of-network claim settlement process on behalf of Providers, Payers and Patients.
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A fully automated EDI and online claim routing and re-pricing application that is available to selected clients
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PMCS Complete focuses on cost containment solutions and provider overpayment avoidance. Our
systems identify the billing error prior to the claim being paid - not after. Claim results are then shared among
the Plan Sponsor and Plan Participants and their families.
- Physician code editing
- Out-of-network claim settlement
- Hospital Bill Review
- Pharmacy Benefit Expense Manager
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