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    Claims Processing           

 

 

The Claims Processing module automatically prices all services.  With this feature the MCMIS will provide the Managed Care Organization with increased productivity and improved accuracy by the reduction of manual intervention.  BCA’s MCMIS also allows for pricing to be structured globally or a combination of both.  The ability to designate particular services as “Non-Covered” or “Capitated” prevents payment of non-contracted services.  The flexibility of the MCMIS to price services as fee-for-service, percentage of fee-for-service, fee-for-service plus percentage capitation, or any combination of the above will aid in contract negotiations for outside services.

 

 

 

 

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