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Solutions: Managed Care Administrative Systems

The challenges of managed care have dramatically increased the workload of office and clinic staff. eHDL understands these demands and has developed systems that are flexible, easy to use and reliable. MedAdmin Solutions, Inc., our comprehensive managed care system, manages all types of integrated health delivery systems, including IPA's, PHO's, MSO's and HMO's. Features include:

  • Member Eligibility & Benefit History
  • Referral & Authorization Tracking
  • Claims Adjudication & Encounters
  • EOB's & Check Writing
  • Multiple Payment Methodologies
  • Provider Contract Management
  • Capitation Payment Processing
  • Member Services
  • Letter Writing Templates
  • IBNR Reporting
  • Premium Billing
  • Utilization Reporting
  • Comprehensive Reporting
  • Integrate Web Portal for Provider and Member Services

We offer flexible fee schedules and extensive reporting capabilities, with over 500 predefined management reports. Our standard system contains many options allowing you to tailor it to your needs, with custom programming available for more specific requirements.

Managed Care Administrative Systems is offered on a licensing and installation basis or can be set up in the clients business as an Application Service Provider (ASP).

Support
Experienced technical staff, toll-free support lines and on-line, Electronic email. Customer support contribute to our excellent record of customer satisfaction and problem resolution. We want to be your partner for the long term, and are committed to providing outstanding customer support.

Hardware
Quality performance is assured with the IBM AS/400 business computer, selected for its unsurpassed dependability, low cost of operation and ease of use. The AS/400 is ranked as the most secure server in the industry.

Easy to Learn & Use
Well designed, easy to read screens, on-line help text and step-by-step manuals allow new users to begin using these systems with confidence. Consistent use of function keys facilitates data entry, lookup and logical movement through the software.

Contact a MedAdmin Solutions, Inc. specialist for more information

 

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