Student Claims Access

WHERE DATA BECOMES INFORMATION
AT YOUR FINGERTIP!

Managed Care Software (MCS) is a computer software provider specializing in the managed care industry. Since 1987, the firm has installed systems throughout the United States that together manage millions of covered lives. MCS provides both standard and custom designed products for the PC/LAN environment.

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The Administrator™ Is A Modular System Comprised Of The Following:

Network Management
  • Fee Schedules
  • Provider contract maintenance
  • Credentialling / re-credentialling (NCQA)
  • Call tracking / quality assurance (NCQA)
  • Provider Directory production
  • GeoAccess interface
Claims Management
  • Repricing
  • EDI (inbound and outbound)
  • Track claim payment information
Utilization Review / Utilization Management
  • Full UR/UM system
  • Decision support using external databases (HCIA, M&R)
  • Referral management
  • Case management
  • Integrate needs for gatekeeper models
  • Workers' Compensation management
  • EAP module
Reporting
  • Claims based reporting
  • UR/UM based reporting
  • By diagnosis
  • By procedure
  • Easy Reports works with The Administrator to provide enhanced reporting capabilities

Developed for Managed Care Entities

Developed by Managed Care Administrators for managed care administrators. Our system will match your needs, both in design and in operation.

Easy to Use

Makes users efficient because they have minimal need to utilize symbols or codes, or to refer to reference manuals. The system comes with on-line help capability allowing your staff to work more efficiently, saving production dollars and improving performance. The system also integrates with clearing houses and claims systems.

Makes Data Become Information

By putting data into the hands of the user, it becomes information; information that can be utilized by PPOs to control their providers, to renegotiate payer contracts, and to improve performance.

Fast On-Site Training

Puts the system to work quickly, with minimal disruption to daily activity. This means rapid usability and little organization down time.

Supported by Managed Care Professionals

Those who support you know not just computers, but the business of Managed Care, so you can get help or develop custom features with people who know your business.

Displaces the Need for Additional Staff

Administration and staff can accomplish complex operational, monitoring, and management tasks with speed. This lowers manpower needs and frees those funds for other necessary areas.

Minimizes Equipment Costs

Utilizes the newest technology PC and Local Area Network (LAN) technology to produce a highly flexible solution at low cost while maintaining linkage capability with mainframe and mini computer systems. This client-server system integrates with database programs such as MSAccess, Foxpro and numerous adhoc reporting engines.

Available Now

There is no reason for wait or worry. The Administrator exists today, and can be operable in 30 days. Should your organization require customization, you will be provided with an installation schedule to meet your specific needs.

© 2007 Managed Care of America, Inc. All rights reserved.