MCN brings efficiencies to medical bill-review processing, with leading solutions for workers’ compensation and auto injury medical bill-review.

MCN provides complete outsourcing through our Cost Management Service Bureau, offering solutions to fit each client’s need. With extensive EDI and scanning capabilities, MCN can provide a user-customizable workflow. We take our client-defined claims handling rules and automate the process through the use of decision management software. Our clients report dramatic improvement in claims management productivity, resulting in higher bill-review accuracy and consistency.

The powerful decision engines use an extensive database of state fee schedules and the industry’s largest number of automated, national (and regional) PPO contracts to help clients obtain the maximum savings on every bill. MCN can assist the claims manager’s workload by increasing workflow automation, getting the right bills to the right resources every time.

In the implementation process, MCN can conduct a study of physician payment history to aid in the selection of the most appropriate preferred provider by jurisdiction down to the zip code level. We make sure that the right provider is selected for the right state.

Do you have customers that want require Telephonic Case Management triage when a claim meets certain criteria? What about Utilization Review parameters? Our Decision Management program provides rules that trigger at key points in the claim process, helping you automate the identification of actions that need to be taken throughout the claim. Working in conjunction with your experience and criteria, our rules building team assures that needs for these services are consistently identified and captured. We can automate actions that you choose in your own claims management process. Bill-review customers who use our system call it an excellent tool for increasing efficiency and ultimately reducing the costs of conducting business.

MCN has developed this program in response to today’s need to go beyond Preferred Provider discounts and bill reductions. Our approach is on the leading edge. We look forward to working with you in implementing it for your claims.