Procedures

Provider Guidelines
AGB has established pre-defined payment procedures with partner hospitals and other medical facilities around the world. As a contracted facility, AGB will pay you directly for eligible health-related services provided to our members in accordance with their plan of benefits. Members will generally be responsible for a portion of the bill, is usually referred to as a “deductible” or “coinsurance.” Our Provider Guidelines outlines the process for requesting a verification of benefits and submitting claims for direct payment.

Forms

For medical, dental and vision providers:
Physician’s Statement - English | Spanish
Dental Provider’s Statement - English | Spanish
Vision Provider’s Statement - English | Spanish
Provider Payment Authorization Form
Become a Direct-Settlement Provider Request Form

Additional helpful resources:
Sample Verification of Benefits Letter
AGB International Calling Guide