Typically, healthcare payers work in an environment that includes a significantly large number of provider contracts with multiple benefit plans. This can present numerous challenges in running seamless claims operations. Businesses can overcome these issues by setting up a standardized framework and decision paths that can simplify these complexities. The resultant automation of the primary claims adjudication and pricing decisions can help drive greater agility in your organization.
At MDI NetworX, we have put together a dedicated team of analysts that brings years of the right training and experience to help our customers through the processes of developing, testing, and implementing a custom BRC workflow. With this approach, you are assured maximum efficiency and accuracy in your claims administration processes.
At MDI NetworX, we understand that smooth running operational processes are key to faster claims resolution and better customer experiences. We capitalize on our technological architecture expertise and process discipline to design, develop, and configure business rules for all your operational processes. We collaborate with you every step of the way, taking tim to really understand the finer nuances of your business. Only then do we devise ways to help you perform your business tasks in the most efficient way possible. When you partner with us, you are assured a robust routine and control, as well as consistently standardized delivery for all operational processes.
By infusing technology into operations and incorporating standardization of processes, healthcare payers will notice a significant ease and optimization in managing claims workflows
Our expertise in configuring benefits helps formulate the efficient algorithms to increase auto adjudication rate by a significant margin.
With most processes automated, you are assured higher levels of accuracy in your claims operations. The result is greater process efficiencies in your organization.
We are committed to ensuring you greater operational efficiencies and accuracy. The simplified framework defines clear actions, thus reducing, if not eliminating, ambiguity in your claims operations