AMG-SIU provides an array of health care claims editing services and fraud and abuse services. These services are offered separately or in combination according to your specific needs (See Program Options). While a few services must be combined, the remaining services are optional and may be provided by your existing staff (or ours) .

The AMG-SIU System offers the option of utilizing the health plan’s in-house staff or contracting with AMG-SIU for some or all of the investigation procedures. Investigation services are offered through the AMG-SIU Automated Investigation Management System (AIMS).

The investigation screens and reports are protected, allowing only authorized users to enter and/or review the screen or report. On-line, web-accessible investigation entry screens and reports allow the health plan to enter, manage, track, and report:

• Allegations and Investigations
• Data Analysis and Intelligent Business Analysis
• Investigation Status Tracking: one or all investigations
• Preliminary Investigations
• Extensive Investigations
• Provider and Member Monitoring
• State and In-house Reporting
• Recovery Programs