The CMS Managed Care Module is a powerful set of management tools which allows BCA customers to effectively manage their managed care contracts by controlling cost, understanding their liabilities, insuring quality healthcare, maximizing customer service and providing timely claims adjudication.  These tools are used in the constantly changing payer environment and provide the information and record keeping needed to streamline operations, and increase patient satisfaction and profitability.  This module includes:

 

	Membership Eligibility and Enrollment
	Accounts Receivable
	Authorization of Services
	Claims Adjudication
	Claims Payable
	Contract Management
	Utilization Review
	Quality Assurance