MCO PRO

Organizations in the managed care landscape faced a critical challenge that many weren’t even aware of. Most organizations include multiple business functions and while several of those rely on the same data and information, the lack of a standard centralized database was taking up a significant amount of manhours as well as reducing efficiencies across the organization. Managed Care Organization Professional (MCO Pro) came into existence after realizing that while there were several tools that fulfilled the requirements in parts, there was no single application that brought all departments under one single standard interface. With MCO PRO, customers can expect faster database performance, shared data amongst all business units, better collaboration and greater savings.

How can
we help you?

Examiners spend precious hours from their tight schedule on administrative tasks that can be automated, thus freeing them to prioritize critical aspects of their claims operations.

What makes MCO PRO a preferred solution?

Real Time Tracking

WIth MCO PRO, you can have multiple systems under one product, managed in real time. Stay on top of claims by tracking real time inbound and outbound connections and file transfers within all departments

Scalable Architecture

One-size doesn’t fit all. Hence, the fully scalable architecture of MDI MCO PRO helps in easy customization as per your exact business and operational needs

Ease of implementing

The new solution can be implemented rapidly, without interrupting your current operations. Once the solution has been customized as per your needs and installed, it can be ready to go in less than an hour

Reduce Turnaround Time

With MCO PRO, your operations don’t not need to wait for all entities to re-route the claim. The solution will aid in significantly reducing time lag and enable transferring claims faster to
auto-adjudication

Achieve Greater Efficiency

Say goodbye to manual processes. With MCO PRO, all claims to and from PPOs and non-PPOs are routed automatically, thus raising efficiency and productivity to an all-time high

MCO PRO is your answer to speedier operation

Integration With All Departments

With this tool, all business departments have access to all databases, thus enabling faster, more accurate and hassle-free movement of claims among all entities

Centralized data management

Get a single window glance into the complete PPO routing process, including inbound and outbound connections. Draw better, measurable insights to aid the claims process

Open communication

Reduce miscommunication and delayed claims processing with open, seamless communication between all departments

Easy Integration

Improve the performance of your operations by easily configuring new business functions that can easily be integrated into your existing processes. Track performance and monitor
operations effortlessly

Single standard interface

The single solution interface has been designed to recognize and support all file formats, including electronic (.edi) and non-electronic (.txt, .csv, .xml, .xlsx) for the purpose of repricing

Lower development cost

The one scalable and easily configurable solution saves costs not just by minimizing manual effort and time, but by lowering development costs associated with multiple solutions

Single Repository

Get the cloud advantage. Eliminate the need for unnecessary paperwork and maintain all claims data securely in a single location

At MDI, we are committed to helping you and by partnering with us, you can expect to see quantifiable results like:

30%

increase in productivity

22%

reduction in human error

16%

TAT improvement

9%

reduction in idle time

5%

drop in CS calls

Discover new insights

Take a moment to go through our resource section where our data-driven insights can help improve your operational efficiency

Reducing Costs and Efforts with the Right Auto-Adjudication Software

Industry trends indicate that Insurance claims have been steadily increasing in volume over the years, and the trend is likely to continue.

Don't Be Surprised By the No Surprises Act

Under the No Surprises Act, which comes into effect from January 2022, patients are protected against unexpected bills since payment disputes will be handled between healthcare providers and payers.

New challenges emerge for healthcare payers in COVID-19 era

As the world starts to open up gradually, healthcare payers are trying to get a grip on a new set of challenges that have risen due to the pandemic.

Are you worried about complying with the No Surprises Act?

All over United States, patients are welcoming the implementation of the No Surprises Act that comes into effect January 1, 2022. The bill, which was passed in December 2020.


View All Resources