Claims Management Under IPA Contracts from Agile Nexus Solutions – handled by experienced US medical billing specialists, with clear reporting every month.
Who it's for
IPA members who need claims sent and paid correctly under IPA and managed care rules.
How we do it
1We follow each IPA’s claim, referral and authorization rules.
2Claims and encounters are sent to the right IPA or health plan.
3We follow up on unpaid and denied IPA claims.
4You receive reports by IPA and plan.
Frequently asked questions
Why are IPA claims different?
They may go to the IPA instead of the health plan and often need referrals or authorizations from the IPA.
Do you handle encounter data?
Yes. We send encounter data for capitated members as the contract requires.
Can you handle several IPAs at once?
Yes. We keep each IPA’s rules separate and report on each one.
