Table of Contents 20,000+ providers strongMCN contracts with over 20,000 physicians nationwide to provide services on a case-by-case basis. We provide administrative and support services to include recruitment and credentialing of consultants, scheduling of examinations, records acquisition and preparation, report transcription, quality assurance of reports, and transmittal of written findings to the clients.
Aside from any introductory or educational contact with MCN, the first contact that MCN customers have with MCN begins with the Scheduling Department. In general, when making a scheduling call, or using the electronic methods below, the requestor has already made a determination as to the specific medical specialty they feel is most appropriate to address the particular injury or condition in question. However, if the claims professional needs assistance in making this determination, MCN staff is capable and experienced in helping with this. When the appropriate medical consultant is identified to address the customer’s needs, the appointment is scheduled. If desired, customers are provided with a copy of the physician consultants’ Curriculum Vitae. The system has the capability of verifying the location of the provider in relation to the claimant address.
Physician Consultant recruiting – Should the claims professional be unhappy with the selection of physician consultants available in a specific region, he/she may request that MCN recruit and orient a new physician consultant for use in a case or nominate a specific physician consultant for inclusion into the MCN physician consultant network. MCN’s Network Development Department immediately receives the assignment from the Customer Service Representative and completes the work typically within two business days. MCN averages adding over 200 new physician consultants to its network per month.
Via MCN’s eService - a secure website where the ordering party can initiate and track a service order from beginning of referral to report delivery. This system is real-time and allows the claims professional to upload cover letters, review appointment letters, retrieve completed reports, and access archived reports and documentation. Additionally, the claims professional can communicate changes or needs during or after the request to MCN customer service personnel. All services can be viewed through MCN eService regardless of the mode of initial referral to the company. Via electronic data interface (EDI) – For those clients that wish to have seamless scheduling information inserted into the client’s claims platform, MCN will partner with the client to provide the delivery of necessary transaction elements for insertion in the client’s claims system. Claims data is extracted from the customers’ claims system and sent in an encrypted format to MCN for insertion into MCN’s operating system. MCN can provide a return transfer of encrypted data to the customer, including the delivery of the final report or schedule information for insertion into the customer’s claims system. All services can be viewed through MCN eService regardless of the mode of initial referral to the company. Via customer web interface - MCN can receive service requests via the customer’s own secured web site. MCN utilizes screen-reading technology to retrieve data from the customer’s web site for insertion into MCN’s system. MCN then has the ability to upload customer update information and reports electronically back into the customer’s site.
Via fax - The customer and MCN can develop a customized form to be used in ordering services from MCN. Claims information and cover letter questions can be included as part of the form. This document is attached into the MCN system and can be viewed by the claims professional through MCN eService.
Via e-mail - Clients can send requests via encrypted e-mail through MCN’s secure e-mail link. If the claims professional wishes to follow the service request through to completion, they may access this information through MCN’s eService.
Via telephone - Requests for services can be delivered via telephone and entered into the MCN system by MCN staff. Cover letter questions can be delivered this way as well or they can be uploaded into MCN’s system via MCN.com.
Specialty networks MCN has found that each market segment has its own unique requirements that vary by state, jurisdiction and insurance type. This has required MCN to designate providers for various types of work based on their licensing, credentials and training.
MCN’s Workers’ compensation network – Depending on the state and jurisdiction, many states require that providers are specifically licensed with the state to undertake workers’ compensation examinations and or peer reviews. MCN tracks these state credentials and involves itself in the training and credentialing of new physicians. If a provider is selected not meeting the state requirements, the MCN systems immediately notifies the Customer Service Representative that the provider is not approved by the state. Additionally, many states have different rating methodologies, some use degree of disability, others use impairment ratings with different benchmarks. Training providers on the proper use of these systems and other state guidelines is imperative when undertaking exams in a specific state or crossing over borders to handle out-of-state examinations.
MCN’s Auto/PIP/No-Fault network - Each state has its own rules regarding who can undertake Auto examinations and or peer reviews on auto claimants. MCN tracks these requirements in its database so as to assure compliance with jurisdictional and state mandates. It is important that providers have experience in handling soft tissue injuries so as to appropriately comment on treatment concerns. This network expands to include a wider array of non-medical doctor (MD) specialties, such as chiropractic, physical therapy, podiatry, acupuncture, and massage therapy to name a few. This is necessary in many states as the “like specialty” rules require that clients provide opinions regarding cases using the same provider specialty utilized by the claimant during treatment.
MCN’s Disability network – Unlike other forms of insurance short and long term disability programs are typically national in scope, not state or jurisdiction driven. MCN is uniquely designed handle these claims through its east and west coast call centers where all claims managers needs can be serviced through one location. Providers are trained regarding the unique requirements dictated by the Disability market. During training providers are informed of the appropriate language utilized in connection with disability claims. Additionally, many of the products require that physicians contact treating providers which is specific to the disability and group health markets.
MCN’s Behavioral health network – Due to the every expanding use of behavioral health providers during claimant treatment, MCN has focused on this area of the market by building an extensive network of Behavioral Health physicians, they include board certified psychiatrists, neuropsychologists and psychologists. This network numbers over 2400 providers nationwide.
MCN’s eServiceMCN’s eService allows all referrals to be accessed whether they were made on-line, telephonically, via fax or mail. Through a secured web environment, clients access the current status of referrals, as well as the ability to upload records download completed reports and related case correspondence. All information is archived for ongoing access. Our clients tell us that MCN’s online service is the most efficient way they have to access information on a claim.
Let MCN provide an organized system to retain all of your information about your IME and peer review referrals.
MCN eService Features:
- Fully encrypted HIPAA compliant environment
- Referral Delivery
- Automated e-mail communications based on client protocols
- Records upload
- Referral status information
- Correspondence delivery and or archives (appointment and cover letters)
- Completed report delivery
- Invoice delivery
- Special requests (communications regarding the referral)
- Medical records storage and archival
- Robust search capability
- Claims history is maintained
- Supervisor access to all of client team data
- Client profile updates
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