Simplify decision making with real-time
payer 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
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.
Digital Intake
Automation is the answer to increased customer expectations, reduced staff and prohibitive administrative costs. Going digital can improve efficiency and productivity
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
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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Provider Call Center
With advanced technology and experienced agents, we optimize communication channels and improve operational efficiency. Trust MDI NetworX as your Provider Call Center partner to enhance patient care and streamline your organization's communication needs.
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
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
Low 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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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
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
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
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 MoreOur Resources
Our leaders have a wealth of knowledge to share with clients and partners
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
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
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!
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.
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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