Health Plan Automation Experts

Health claims processing, Health Claims payment, Health claims processing, Premium Billing

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