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) .

AMG-SIU offers several processing options to meet your individual needs. Some of the options include:

1. Claims Editing Only (ACE): This option provides the health plan with prospective and retrospective claims editing along with complete access to all reports.

2. Claims Editing and Data Analysis System (ACE & AIMS): This option provides the health plan with prospective and retrospective claims editing, access to all reports, investigation analysis and business intelligence application, and investigation tracking.

3. Full Service Option (ACE, AIMS & SIU): AMG-SIU will provide a complete fraud and abuse program that includes the prospective and retrospective processing of claims, preliminary investigations, extensive investigations, history analysis, data analysis, provider and member monitoring, education program development, compliance manual, and full access to all reports.