ACPN is an independent, multispecialty National Provider Network. Through our proprietary network and technology we offer healthcare solutions for providers, payers and patients.
Our unique approach to developing a provider network is designed to be mutually beneficial for providers, payers and patients. We understand that success comes when all parties in the healthcare transaction are valued.
Founded in 2012, ACPN is an independent, multispecialty national provider network. Through our proprietary network and technology, we offer access to providers, payers and patients in all 50 states, Canada, the Dominican Republic, Guam, Mexico, and Puerto Rico.
The products we cover include Individual and Group Health, Workers Compensation, Auto Liability, and Medicare Advantage.
Our client base consists of Insurance Carriers, Third Party Administrators, Health and Welfare Funds, Self-Administered Employer Groups, Student Plans, Travel Plans, etc.
Our mission is to achieve consistency in healthcare transactions, simplify claims adjudication processes, create reasonable reimbursement arrangements and establish reliable healthcare access for all parties—providers, payers and patients.
ACPN contracts directly with healthcare providers of all types and specialties to establish simple and reliable healthcare access and reimbursement arrangements.
Here's why it matters:
ACPN offers payers an established national network of healthcare providers of all types and specialties at pre-determined access and reimbursement arrangements.
Accessing our network allows for expedited claims adjudication with significant savings, increased payment acceptance and extension of coverage for members at a national level.
Additionally, ACPN offers client-customized provider recruiting. This approach to contracting allows us to converse directly with payers and providers to determine which providers would be most valuable to payers and patients, and which providers would benefit most from a relationship with ACPN.
ACPN extends coverage for patients at pre-determined access and reimbursement arrangements.
What does this mean?
*Patients accessing the ACPN network must have healthcare coverage through an ACPN payer. To find a participating provider please use our online provider directory.*
ACPN developed a proprietary software application to ensure accurate and timely healthcare transactions through our 'Perfect Repricing Process.'
The 'Perfect Repricing Process' consists of logic that allows for fully automated processing of medical claims. All claims are processed in full without human touch and are never assigned a 'pending' status.
3P has three interface capabilities—Electronic Data Interchange (EDI), Extensible Mark-up Language (XML) and online web-repricing.
Claims can be submitted, fully processed, and returned 24-hours a day through any interface. Payers may submit once daily or multiple times within a 24-hour period.
3P supports all standard HIPAA compliant EDI 837 file formats and most other file formats (CSV, Flat File, etc.)
Custom interface development services are also available to support touchless solutions for submitting and receiving claim files automatically between systems.
Payers can submit and receive fully processed claims on a realtime basis using XML. This method offers the ability to create an automated process for sending individual claims for immediate processing as an alternative to EDI that requires batch processing.
QuickPrice is a proprietary web application that enables payers to process claims via an SSL secured Web Portal.
When system limitations or one-off conditions exist, payers can manually enter data from a HCFA or UB claim into QuickPrice. QuickPrice automation processes all claims in full and returns a 'repricing sheet' instantaneously for payment and documentation of processing.
*3P and the 'Perfect Repricing Process' are HIPAA compliant and run on state-of-the-art computer systems that incorporate industry standard encryption technology.*