Out-of-Network Claims for TPAs

PMCS Advance is a single source settlement solution that advance funds out-of-network claim payments to Providers while also ensuring Payers receive the best possible discount.

Its unique utilization of electronic data interchange (EDI) and established Provider agreements is the only solution today delivering seamless administration, advance funding, and direct Provider negotiations.

  • Provides prompt, predictable payment
  • Maximizes settlement capabilities
  • Increases processing volume
  • Eliminates settlement disputes
  • Dramatically reduces paperwork
  • Customizable to daily claim routine
  • Complies with HIPAA regulations

Reduce Claim Costs » Increase Claim Volume PMCS has built one of the industry’s largest Payer networks and has a strong base of pre-negotiated contracts—signed agreements that protect you from recourse. Through this exclusive network, we’re able to offer exceptional discounts settled in record time. As a result, you reduce claims costs and increase claims volume while also optimizing customer loyalty.