Managed Care Information System for "At-Risk" Healthcare Delivery Systems

MED/MC – Managed Care

MED/MC 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, MED/MC can be deployed as a cloud solution or on-site, depending on what your needs may be.

MED/MC 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

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 Report Writer

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/Managed Care Literature