We are the perfect fit
for your health plan needs

Reference Based Pricing

Our Reference Based Pricing (RBP) solution helps our clients to lower healthcare costs with quality providers while providing concierge service to members. We’ve partnered with Payer Compass, CareValent and the Phia Group for a best-in-class product.

We provide full transparency by establishing price-to-value for medical services. Claims are benchmarked against Medicare Cost and proprietary reference databases before payment is released. And we accomplish this at about a third of what our competitors charge.

Member education and engagement are key components of our success; our concierge service directs members to high quality and cost effective providers. In addition, we work directly with providers to confirm reimbursement amounts and answer associated questions. Less than 2% of our total processed claims generates a balance bill.

The ABA Advantage

We care about you and your business. At Assured Benefits Adminis trators (ABA), we are focused on providing a customer driven and outcomes-based approach that simplifies benefit administration the right way, the first time. Through our cutting edge technology and experienced team of professionals, we offer you the highest levels of service. ABA saves you money through innovative solutions that rival or exceed those offered by major insurance carriers.

The Cost of RBP

PER EMPLOYEE-PER-MONTH (PEPM)

Our Model

Assuming 250 employees at one month

TOTAL CHARGES
ALLOWABLE AT 150% OF MEDICARE
OUR FEES
EFFECTIVE MEDICARE RATE
(Includes our fees)

$90,865.00
$13,566.00
$3,187.50/MONTH
151.7%

PERCENT OF CHARGES

Other Vendors

Representative of one individual claim

TOTAL CHARGES
ALLOWABLE AT 110% OF MEDICARE
THEIR FEES
EFFECTIVE MEDICARE RATE

$90,865.00
$9,948.00
$10,903.80 (12% OF CHARGES)
230.6%

3 + MONTHS OF OUR FEES TO PROCESS
MULTIPLE CLAIMS
=

COMPETITORS’ FEES TO PROCESS 1 CLAIM

We have the tools and expertise to create a plan
that will exceed your expectations

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Assured Benefits Administrators
8150 North Central Expressway
Suite 1700
Dallas, Texas 75206
1.800.247.7114

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