MDI Network
MDI Network

About Us

Overview

MDI NetworX is ISO 27001:2013, SOC1/2 certified provider of specialized services and solutions to the US Healthcare Industry (Payer/Provider). Utilizing our domain expertise, we work alongside our clients to develop end-to-end solutions to address their unique business challenges.

The combination of our global delivery network, strong technology capabilities and proven operational excellence allow our customers i.e. Healthcare Payers, TPAs, Providers and MCOs to concentrate on their core capabilities while we manage the complex nuances of internal business processes. For over two decades, our management team has been helping companies in the healthcare insurance domain transform their business operations by delivering efficiencies, process improvements, and economies of scale, all while maintaining the focus on exceptional customer service and proficient claims processing. Our goal is to help our clients increase membership while minimizing administrative costs, and to offer members support that reflects our customers’ high standards. We partner to deliver profitable growth to our clients.

MDI NetworX thrives on tackling complex problems in the healthcare sector. We are uniquely positioned to help maximize organizational efficiencies by implementing best practices and utilizing mature proprietary tools and methodologies. Our goal is to enable healthcare organizations to develop robust, agile processes, quickly adapt to the ever-changing health insurance marketplace, while always maintaining the focus on customer satisfaction. Through continuous improvements, technology development and certifications, MDI endeavors to help your organization become the preferred service provider in the marketplace.

Using cutting-edge technology and state-of-the-art facilities, MDI NetworX brings comprehensive operations management support to every client. Few of our renowned clients include Johns Hopkins Healthcare - Baltimore, Regence Blue Cross Blue Shield TPA– Bellevue, WA, MagnaCare Health Plan - New York.

MDI NetworX has a strong team of domain consultants and operations management experts with in-depth knowledge of the healthcare, managed care, and insurance markets. Our consultants are capable of offering vertically integrated BPO services that include but are not limited to:

  • Mailroom Services
  • Front End Data Capture Services
  • Claims Processing and Adjudication Services
  • Member and Provider Data Management Services
  • Member Enrollment and Eligibility Services
  • Quality Assurance Services
  • Claims Adjustment Services
  • Utilization Management
  • Fraud and abuse research and resolution
  • Clinical Services
  • Denial Management
  • Accounts Receivable
  • Premium billing and reconciliation
  • Business Rule Configuration
  • Document and Workflow Management Services
 

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