We use our reporting and analytics expertise to help healthcare payers and TPAs collect data from varied sources, such as portals, websites, and other systems. We then convert it into a simple readable format that enables our customers to make the right decisions at the right time. Our commitment to ensuring timely delivery within set quality parameters ensures our customers can rely on us for their data requirements.
We have dedicated and experienced staff members who utilize their highly-skilled abilities to work with organizations looking to consolidate, analyze, and maintain their vast volumes of data. We understand that the needs can vary on a regular basis, and allow customers to opt for a ‘pay as you use’ model that saves on valuable resources while also freeing up their existing staff on more critical areas of their operations.
Our core team consists of subject matter experts who initialize the process through documentation support. The services include preparing and modifying benefit summaries, plan summaries, authorization letters, and also performing document indexing and triaging actions.
We have regularly proven our capabilities in on-demand reporting services like CHEF (Catastrophic Health Emergency Fund) eligible member summary, Population Health Assessments, ACA Reports, PCORI Reports, Care Management Report, Care Navigator, Employee Dependent Census Report, Shock Claim Reports, Top Drug Reports, Pended Claim Report, Maternity program utilization, EAP Utilization, Disease management, Nurse Line, HCBB Utilization, etc.
We understand that the customer experience begins at the first interaction, and that often sets the bar for expectations. To ensure our clients can offer better member experiences, we assist them in providing welcome reports (1st day, 1st week, and 1st month), regularly updating member portals with eligibility and benefits details, claim status, alerts, and stop-loss amounts for members. This helps ensure there is never any lack of communication from the healthcare organization’s side.
A strict adherence to quality will remove any uncertainty regarding compliance rigor while processing claims. Healthcare payers are assured compliance to established rules and regulations.
Periodic test of routines and controls ensures there is no accidental deviation from established rules and compliances. Automation assists you in carrying out error-free claims processes.
At MDI, we believe there is always room for the improvement of processes. Continually re-engineering processes and workflows helps improve claims operations across functions.
We assess your existing claims process operations and identify areas that need retraining in order to fulfill the latest compliance requirements.