MCSI has assisted many adminstrators with all aspects of Benefit Plan Adjudication.
EXPERIENCE:
- Clinical Code based Benefit Identification
- Copay, Coinsurance Decuctibles, Limits, Accumulators
- Authorizations, Referrals
- Preventative
- Dental Services
- DME Rental/Purchase
- Coordination of Benefits
- First Dollar Benefits
- Subrogation
- Reinsurance
- In Network, Out of Network, Out of Area
- Anesthesia
- Chiropractic
- Disability
- Denial Messages and HIPAA Coding stadards