AP Global Health Management, a subsidiary of AP Companies Group, focuses on healthcare services in the United States. Our comprehensive portfolio of medical and Third Party Administration (TPA) services caters to the needs of insurance companies, ship owners, various professional workers, and corporations, ensuring tailored support and efficient management of healthcare and insurance-related processes.
since
1997
year
One of the world’slargest pure medical assistance companies.
Please visit:
Our vision
Our vision is to help people maintain a better quality of life.
As a global Group of Companies, we assist expats, travelers, crew members, seafarers and other professionals, providing major medical treatment around the world, ensuring a unique, reliable and efficient solution.
Global knowledge, local expertise
Our slogan «Global knowledge, local expertise» reflects our efforts to fulfil and exceed the expectations of our customers and business partners.
Our Services
AP Companies offers a full range of Cost Containment services in the USA.
Effective medical case management
Claims
management
Repricing
High cost claims
discounts negotiation
Bill audit
Fraud
investigation
AP Companies, has a wide experience of cost control in the USA, where we have multiple partners and tap into several PPO network service providers. The partner is chosen depending on the medical provider, services, best available discount, etc
A significant part of our Cost Containment strategy is Fraud Detection.
Fraud Detection
Fraud detection is aimed at revealing and preventing the following type of fraud:
- Submitting false bills or claims for medical services, which were never rendered to the member. In case of suspicious cases, AP companies requests all the copies of medical records and results of lab/diagnostic services.
- Unnecessary medical treatment or drug prescription.
- Sending the claims for the services, which were outsourced from other medical facilities making unreasonable mark up on prices. In this case, AP Companies checks the range of services the provider is licensed for and matches it across the services listed on the invoice.
- Review invoices received from non-existent medical providers.
Active Medical Case Management
Active Medical Case Management allows AP Companies to significantly reduce healthcare costs by proactively managing employee health issues, optimizing treatment plans, and ensuring appropriate care.