Simplifying Decision-Making with Real-Time Payers Data Analytics

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

What Problem Can We Solve?

Leverage a one-stop solution like InsightPro to handle everything quickly and easily
OR

Make data capture efficient (with Golem)
Provide quick and secure access to all records (with DocGem)
Verify and update provider directories in real time (with No Suprises Act)
Consolidate, analyze and maintain all data (with Reporting and Analytics)

Why MDI NetworX?

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

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Digital Intake

Automation is the answer to increased customer expectations, reduced staff, and lowered 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 services with fewer personnel. Let us automate your core admin responsibilities.

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Digital Mailroom & Fulfillment

Our cost-effective mailroom management software will increase productivity in your organization through scanning solutions and more.

Our Products

Our products emerge from a deep understanding of the challenges faced by healthcare payers today with a suite of proven solutions geared to tackle those challenges head on.

InsightPro

This customizable tool is designed to enhance efficiency and performance
across your operations.        



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RevEx

RevEx is an advanced Revenue Cycle Management platform crafted to streamline and optimize healthcare billing processes.



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Golem

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



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Docgem

Using automation, this tool handles the critical tasks of record access, confidentiality, workflow distribution, and reporting.



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MCO PRO

This fully-automated PPO routing and repricing application performs tasks efficiently and with complete transparency, which 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 to manage the more mundane responsibilities of business, giving their team more time
to focus on their core capabilities.

Claims Administration

With our experienced onshore and offshore claims adjudication and adjustment professionals, healthcare payers and 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.

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Revenue Cycle Management

Our Revenue Cycle Management (RCM) solution is designed to address the complexchallenges healthcare providers face in managing their finances effectively.


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Practice Management

Enhance efficiency and compliance with our customized practice management solutions. Streamline financials, credentialing, and IT support seamlessly.

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Payer Administrative Services

Streamline operations and boost member satisfaction with our expert Payer Administrative Services, featuring precise compensation management and advanced tech integration.

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Digital Mailroom Management

Take advantage of our ultra-modern technology that brings to you exceptional mailroom and scanning solutions and gives 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 as well as hand-written forms and correspondence documents, and convert them into EDI.

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Member Enrollment

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

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Business Rule Configuration

Allow 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 solutions that can help you meet the solution 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 expert manpower and years of experience.

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IT Solutions

We have a strong focus on emerging technologies and towards that we invest in the latest tech innovation to facilitate high-quality tech solutions for our clients.

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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 progressing 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


Revenue Cycle Management

Our Revenue Cycle Management (RCM) solution is designed to address the complexchallenges healthcare providers face in managing their finances effectively.

Learn More


Digital Mailroom Management

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

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Data Capture

We put ML/AI 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 Enrollment

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

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Business Rule Configuration

Allow our experienced and certified configuration analysts to use their skills to help you configure benefit plans, pricing, provider network, etc. on all of 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 through provided 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 them in finished reports within the stipulated turnaround time.

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IT Solutions

We have a strong focus on emerging technologies and innovations that we invest in to offer our clients high-quality tech services.

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Our Resources

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

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Top Strategies for Denial Reduction in Revenue Cycle Management

Discover top strategies to reduce claim denials in healthcare revenue

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Improving Healthcare Workplace Productivity Through Workforce Analytics

Discover how AI-powered workforce analytics revolutionize healthcare productivity, from staffing

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The Role of AI and Automation in the Modern Digital Mailroom

Explore how AI and automation revolutionize the digital mailroom, improving

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Optimizing Claims Management: The Role of Mailroom Automation in Streamlining Business Operations

Discover the game-changing role of mailroom automation in claims management.

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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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Client Testimonials

Hear what our clients have to say about working with MDI NetworX.

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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

...
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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