MDI NetworX has extensive experience of providing outsourced Claim Management services to Payers, TPAs globally. We do this specifically by:
Our associates are trained to provide end-to-end support for entire claims process, from receipt (paper or EDI) through member/provider matching & verification, scrubbing, adjudication and adjustment.
Improve Turnaround Time
Improve Auto-adjudication Rate
MDI’s existing highly scalable infrastructure, adjudication know-how, and proven capability to process all types of claims (e.g. CMS1500, UB04, Rx, Dental and all Non Standard Claim forms) can provide a comprehensive outsourced solution for your company’s claims processing needs.
The Challenge of matching member/provider to ensure the accuracy of payment that has been a never ending concern for healthcare industry.
With MDI expertise in member and provider matching, your enterprise will experience significant improvement in accuracy of payments for the eligible members to the right providers, leading to reduction in errors and costs.
Reducing the cost and time required to adjudicate the claim forms with minimal errors are key concerns for healthcare payers. MDI NetworX Claims Adjudication team is acquainted to work with multiple platforms, ensuring efficient claims processing, faster settlements and lower processing cost per claim thereby benefiting healthcare payers.
MDI's Claims Specialists have a vast experience of handing different type of adjustments (E.g. corrected claim, duplicate payment, change in fee schedule, overlapping hospital bills, appeals, exception processing and benefit application)
We know profitable growth is important to you. Give us an opportunity to partner with you.