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Simplify decision making with real-time
data analytics

Whether you are looking to contain costs or improve employee engagement or quality of process, analytics plays a vital role in achieving the objectives. Our proven analytics solutions help you harness vast amounts of data flowing through your organization, enabling insights-driven operations, enhancing efficiencies, and creating clinical and business value.

What problem can we solve?

Do you wish for a one-stop solution like InsightPRO to handle everything quickly and easily?
OR

Make data capture efficient
Provide quick and secure access to
all records
Verify and update provider directories in real time
Consolidate, analyse and maintain all data

Why MDI NetworX

We offer the right suite of solutions for the post-pandemic challenges that healthcare payers face. Intelligent solutions that can help you beat the odds faster.

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Digital Intake

Automation is the answer to increased customer expectations, reduced staff and prohibitive administrative costs. Going digital can improve efficiency and productivity

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Core Admin Solutions

Businesses like yours need to continue to offer the same levels of service possibly with fewer personnel. Allow us to automate your core
admin responsibilities

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Digital Mailroom & Fulfillment

This cost-effective mailroom management software will increase productivity in your organisation, and that too at minimum investment

Our Products

Our products emerge from a deep understanding of the challenges faced by healthcare payers, and the suite of products is geared to tackle just that.

InsightPRO

This customizable tool has been designed to enhance efficiency and performance
in your operations        



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Golem

A frontend claims processing solution, Golem offers an elegant interface for a seamless backend workflow



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Docgem

Automation is deployed to create a tool that can handle the critical task of record access, confidentiality, workflow distribution and reporting



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MCO PRO

This fully-automated PPO routing and repricing application performs its task efficiently and with complete transparency, and can be accessed any time during the claim process



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Mage

This tool will reduce time, cost and effort in preparing and negotiating contracts that are financially viable to providers



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Our Solutions

We work with our clients and manage the more mundane responsibilities of the business, leaving their team free to focus
on its core capabilities.



Claims Administration

With our experienced onshore and offshore claims adjudication & adjustment professionals, healthcare payers & TPAs are assured faster settlements, better accuracy and lower processing costs per claim

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No Surprises Act

As the US healthcare arena gets ready for the No Surprises Act, we will help you navigate this changing landscape with our skilled manpower and
years of experience

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Digital Mailroom Management

Take advantage of our ultra-modern technology that brings to you exceptional mailroom and scanning solutions and offers your operations the benefit of OCR ready
(300 DPI) images

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Data Capture

ML/AI is put to good use via Optical Character Recognition (OCR) and Intelligent Character Recognition (ICR) technologies. This helps you capture data from printed / hand-written forms and correspondence documents, and convert them into EDI

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Member Enrolment

Healthcare payers and related third party administrators can discover high-quality member enrollment, premium billing, eligibility support and member fulfilment services

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Business Rule Configuration

llow our experienced and certified configuration analysts to use their skills and help you configure benefit plans, pricing, provider network, etc. on all the popular claims administration platforms

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Quality Assurance

Improve the overall efficiency of your operations with our 1st Pass and 2nd Pass audit services that can help you meet the service levels of claims and also provide re-training triggers

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Reporting & Analytics

Our team of experienced and qualified MIS analysts and reporting specialists can take your complicated reporting tasks and turn in finished reports within the stipulated turnaround time

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IT Solutions

We have a strong focus on emerging technologies and towards that we invest in the latest tech innovation in order to offer our clients high-quality tech services

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Claims Administration

With our experienced onshore and offshore claims adjudication & adjustment professionals, healthcare payers & TPAs are assured faster settlements, better accuracy and lower processing costs per claim

Learn More


No Surprises Act

As the US healthcare arena gets ready for the No Surprises Act, we will help you navigate this changing landscape with our skilled manpower and
years of experience

Learn More


Digital Mailroom Management

Take advantage of our ultra-modern technology that brings to you exceptional mailroom and scanning solutions and offers your operations the benefit of OCR ready
(300 DPI) images

Learn More


Data Capture

ML/AI is put to good use via Optical Character Recognition (OCR) and Intelligent Character Recognition (ICR) technologies. This helps you capture data from printed / hand-written forms and correspondence documents, and convert them into EDI

Learn More


Member Enrolment

Healthcare payers and related third party administrators can discover high-quality member enrollment, premium billing, eligibility support and member fulfilment services

Learn More


Business Rule Configuration

llow our experienced and certified configuration analysts to use their skills and help you configure benefit plans, pricing, provider network, etc. on all the popular claims administration platforms

Learn More


Quality Assurance

Improve the overall efficiency of your operations with our 1st Pass and 2nd Pass audit services that can help you meet the service levels of claims and also provide re-training triggers

Learn More


Reporting & Analytics

Our team of experienced and qualified MIS analysts and reporting specialists can take your complicated reporting tasks and turn in finished reports within the stipulated turnaround time

Learn More


IT Solutions

We have a strong focus on emerging technologies and towards that we invest in the latest tech innovation in order to offer our clients high-quality tech services

Learn More

Our Resources

Our leaders have a wealth of knowledge to share with clients and partners

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New challenges emerge for healthcare payers in COVID-19 era

As the world starts to open up gradually, healthcare payers

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Digitization holds the key to improve claims management

Healthcare payers across the globe have been fiercely hit by

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Applying analytics, automation, and AI to minimize clinical denials

In recent times, payment methodologies have evolved significantly, however US

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Utilizing AI/ML can improve claims processing efficiency & the provider-payer relationship

One of the biggest challenges that healthcare organizations continue to

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InsightPRO,
MDI's flagship offering

Our healthcare insurance payer operations cover a gamut of services, including high-quality Services, Consultation and IT Solutions. We are committed to providing exceptional services that meet the exact needs of healthcare payers, and towards that we deploy the latest technologies.

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Customer Testimonials

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Megan
Director of Claims and Care Management

I just wanted to take a moment to share some feedback that I have been receiving from my Claims leads (and some of my own) that your team works with on a day-to-day basis. I have consistently received the feedback that your team is responsive, meticulous in the work, and constantly polite

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Ryan
Manager, Claims Operations

I wanted to thank you and the team for the excellent work that you are doing for the Accumulator Requests. You were able to beat the committed completion dates, which is very much appreciated. Please share my appreciation with the team! Great work and thank you!

...
Lisa
Lead Auditor, Quality Control Specialist

You have been doing a great job with all the extra stuff we have been sending your way like the special claims and the stop loss claims plus the claims that need 3 or 4 levels of audit. Thank you and your team for always stepping up and helping out.

Our Certifications

All our products and services are certified by reputed worldwide organizations.

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Join MDI

If you’re looking for a fast-paced career with numerous rewards and recognitions, then join MDI NetworX today

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