Managed Care Organization

SmartCareMCO is an integrated module to manage, communicate, collaborate, and pay external service providers. Outside providers will have full clinical functionality for better case management and outcome measurement with the contracting agency.

With SmartCare, you have the power to process claims from your provider network; give providers direct access to the system; manage member information; and robust reporting capabilities.

A Dashboard at your fingertips gives you easy access to:

  Members current medical and billing status – 12 month plan

Overview of all claims by current status

  Providers contract reach their cap

  Scheduled Events (hospitalizations, discharges etc.)  Alerts and Messages

Other benefits of SmartCareMCO are:

  Managing providers

  Managing Members

  Claims processing

  Track and report authorizations; hospitalization pre-screen to discharge

  Overview of all claims by current status

Want to know more? Contact us

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