MED/MC

Managed Care System

CPU’s MED/MC Managed Care Information System provides the most comprehensive and cost effective solution for managing “at risk” healthcare delivery systems. The robust MED/MC solution streamlines management for all types of integrated health delivery systems including IPAs, PHOs, MSOs and HMOs.

MED/MC Features

  • Fully integrated Managed Care Information System  
  • HIPAA compliant EDI formats  
  • Logical/user friendly screen navigation  
  • Comprehensive management reports

Maximize Productivity

MED/MC seamlessly integrates the complexities of administrating eligibility, referral authorization and claims processing. Functions and features maximize data integrity while reducing data entry.
  • Member eligibility and benefit history  
  • Referral management with fax referral authorization 
  • Claims processing with electronic adjudication using HIPAA compliant formats 
  • EOBs and check writing  
  • Multiple payment methodologies  
  • Provider contract management  
  • Capitation management  
  • Member and provider services call tracking  
  • Letter writing templates  
  • Premium billing  
  • Extensive reporting and data warehousing

MED/MC expertly manages multi-specialty, multi-location healthcare delivery systems with flexible fee schedules and extensive reporting capabilities. The system produces over 500 predefined, on-line management reports.

MED/MC Brochure

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MED/MC Brochure   



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