MCN’s Decision Management Solution creates an over-arching workflow, database management and audit tracking capabilities to simultaneously orchestrate any number of unique decisioning processes for enforcement of client directed rules, these could include the following:

Treatment protocols
Treatment benchmarking
Utilization review parameters
Case management enforcement/criteria setting
SIU Protocols – link with databases
PBM protocols and linkage
Network development protocols

By linking this decision management tool to your medical bill-review services, MCN is able to tie the enforcement of its client’s claims management protocols to the overall financial management of the claim. The outcome of this automated process can be dramatic. Claims professionals can manage more claims more efficiently with improved results for both the claimant and the carrier.