ASMED Health, LLC


What is ASMED Health, LLC?
  • ASMED Health, LLC is building a network to help those who build and protect America.
  • Established in 1992, ASMED Health has been one of the leading networks delivering substantial discounts to self funded entities and labor unions. ASMED services well over 150 clients ranging in size from 150 to over 60,000 members and offers discounting services on medical billings and at the same time eliminates administrative costs through HIPPA compliant state-of-the-art technology to reprice in-and-out-of-network medical claims.
  • ASMED Health, LLC is a national network of physicians and facilities serving our nation's proud union membership through their health and welfare turst funds throughout the 50 states. Self-insured employers and Taft-Hartley trust funds, representing 60% of the insured in America today, rarely participate in HMOs. They are self-sustaining with regards to their health insurance matters, and they prefer to continue their disassociation with HMO's and HMO Networks. Therefore, ASMED caters to those employers and trust funds by establishing "made to order" networks which fulfill the specific needs for their membership.

Patients
  • ASMED's goal is to help self-insured employers and trust funds manage their healthcare expenses resulting in the same excellent quality care at less cost.
  • ASMED is continually assembling the best network of physicians and facilities for their clients based on their location and the providers their insureds have spent healthcare dollars at in the past at discounted rates. ASMED also directly negotiates healthcare billings not discounted through a PPO which results in greater savings for you and your company.
  • ASMED is not an insurance company nor do we pay claims. ASMED performs the processing services of the medical bills and coordinates the repricing of the claims together with negotiating out-of-network billing. By choosing an ASMED provider, you can also reduce your out-of-pocket expenses.
  • ASMED HEALTH is a group of physicians and hospitals who have agreed to receive a discount in exchange for increased patient volume. By joining ASMED, a provider will have the ability to have the volume of patients to sustain and enhance their practice.
  • A patient will not be balance billed for any of the discounts taken. This does not include deductibles, co-insurance, non-covered benefits or co-pays.

Clients
  • ASMED HEALTH is a national network of physicians and facilities serving self-insured employers and labor health and welfare trust funds.
  • ASMED HEALTH strives to establish a made-to-order network which fulfill the needs of our clients.
  • With EDI claim processing, we can help you reduce your administrative and operational costs. You can eliminate hours of administrative labor, resulting in savings to you both in time and money. Sending claims to ASMED via EDI results in faster turnaround time.
  • With EDI claim processing you receive confirmation of receipt and a report of any files that did not load and why. There is less need for manual intervention. All of ASMED's EDI processes are HIPPA compliant.

Providers
  • ASMED HEALTH is retained by employer groups to perform administrative services for their medical claims. ASMED reprices the medical billing using fee schedules together with negotiations for out-of-network claims.
  • A physician or facility who has chosen to contract with ASMED signs a discount agreement authorizing discounts for our clients. When payment for services rendered is made, an EOB will accompany the payment identifying your participation with ASMED HEALTH, LLC.
  • The advantages of joining the ASMED HEALTH PARTNERSHIP network are many:
    - Reduce time calling regarding payment status.
    - Reduction of a patients responsibility which can speed up payment of deductibles and co-payments.
    - No need to review a bill by the payor.
    - Increased patient volume and retain established patients.
    - Provider directories/website directories.
    - Marketing of your practice.
    - Faster payment of claims.
    - No change in your billing practices.
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