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Specializing in Medical Cost Containment Solutions and state of the art technology since 1995.
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"We've been applying edits to our block of business for over 10 years. The solutions available in the marketplace have not always been the easiest to merge into our claims operations. Your team went above and beyond to meet all of our expectations and fulfill our requests. The outcome of the PlutoX edits has allowed us to continue to save our clients’ money with the ease of the PlutoX application."
Health Cost Solutions - TN,
"A&G/PlutoX has been wonderful with this Transition, and the Claims Editing – Fraud, Waste and Abuse program. It has been such a great addition to our processing workflow, not to mention how much money it has saved our clients. I want to thank everyone at A&G/PlutoX for the continued hard work everyone put in to make sure that we have the information that we need. I have not worked with any other vendor that has been so loyal and I truly appreciate it."
Rocky Mountain Administrators - MT,
Our Free Analysis for a health plan of about 150K members - PlutoX Code Editor detected approximately 5% more in errors even after the claims had already gone through their current editor. The result was a savings of $3.3M per month.
Midwest Health Plan,
Our Free Analysis of about 10,000 members – PlutoX Code Editor detected 8.3% in errors. The result was a savings of $305,435 per month.
Medicare Advantage Plan - Puerto Rico,
Our Free Analysis for this TPA with 25,000 lives – PlutoX Code Editor detected errors on HCFA’s and UB’s. The result was a savings of $1,470, 195 per month.