Managed Care Information System for “At-Risk” Healthcare Delivery Systems

MedMC – Managed Care

MedMC, managed care information system, is about customization and flexibility for managing “at risk” healthcare delivery systems.

We don’t offer a patchwork of Legacy systems. CPU offers an integrated package that streamlines management for all types of integrated health delivery systems including IPAs, PHOs, MSOs and HMOs. Moreover, MedMC can be deployed as a cloud solution or on-site, depending on what your needs may be.

MedMC is always stable, always up-to-date and features:

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

Maximize Productivity

MedMC 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

MedMC Report Writer

MedMC 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.

MedMC Managed Care Information System Literature

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