Clarity, transparency, and confidence in every claim.
AMPS knows payers face the challenge of balancing clinical excellence with financial sustainability. Our solutions are engineered to help you navigate complex financial and operational challenges, delivering scalable, defensible cost containment without compromising the quality of care your members deserve.
Five pillars that protect your plan and your members.
Our solutions are built on five key pillars that ensure financial sustainability while your members receive a customized, high-quality healthcare experience. Here's how we partner with payers to deliver success.
Transparent Payment Integrity Editing
ClaimInsight identifies overpayments before they occur using a transparent, rules-based prepay editing platform. Predictable PMPM pricing with no contingency fees means defensible cost containment you can plan around.
Physician-Only High Dollar Review
For large, complex claims, ClaimInsight applies a High-Dollar Review process staffed by U.S. board-certified physicians. Fast implementation requires no IT lift, so you gain accuracy on your most consequential claims without operational disruption.
Patient-Centric Approach
Financial sustainability should never come at the expense of care. AMPS supports high-quality outcomes through accurate billing processes, protecting members from surprise costs while keeping your plan's spend in check.
Unwavering Compliance
Claims are audited to the highest accuracy standards, giving you transparent, defensible, and compliant solutions. Precise, backed-by-data pricing means no hidden fees and no surprises, just ethical solutions aligned with your members' best interests.
Strategic Partnership
Your success is our success. AMPS delivers real-time reporting, training, and dedicated account management, a collaborative, customized strategy that helps you redefine what payment accuracy looks like.
Redefine what payment accuracy looks like.
By integrating innovative technology, a member-first approach, and a commitment to integrity, AMPS ensures your plan achieves significant savings while maintaining a positive healthcare experience for members.
Clarity
A transparent, rules-based editing platform with real-time reporting, so you always see how findings are calculated and defended.
Control
Predictable PMPM pricing with no contingency fees and no IT lift, defensible cost containment you can plan around.
Confidence
Claims audited to the highest accuracy standards by U.S. board-certified physicians, protecting members and plan assets alike.
Clinical excellence and financial sustainability.
AMPS is not just another cost management solution. Let's redefine what payment accuracy looks like, with clarity, control, and confidence, through a collaborative, customized strategy built for your plan.
Three core solutions, one accountable partner.
Our unique value proposition lives in three core solutions designed to reduce costs and enhance the member experience. Working together or independently, they offer the flexibility, precision, and savings your plan needs.
Payment IntegrityStop overpayments before they happen.
Claims RepricingThe next evolution of reference-based pricing.
Pharmacy BenefitsA radically transparent PBM alternative.
Let's redefine what payment accuracy looks like.
Get in touch with our team to learn how AMPS helps payers balance clinical excellence with financial sustainability.