The
Authorization module supplies providers with the
speedy and accurate authorizations they require
to properly service their patients. The MCMIS
validation feature also makes sure that services
requested are valid for those providers. The
MCMIS also automatically checks services against
patient’s benefits packages. With On-Line
Authorization the MCMIS provides an effective
method for the Managed Care Organization to
monitor outside services performed for their
members. This assures the treatments are both
customary and reasonable.
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