Overview

eMCee is a software and services solution specifically designed to assist network based managed care organizations in managing the complexity of the "informational" relationships that exist between payers, providers, and members and the varying contexts in which they operate.

We have created one of the most powerful benefit plan and provider/facility contracting utilities in the industry to ensure that your organization can accurately replicate complex benefit terms and conditions as well as accommodate your various reimbursement methodologies.   Our adjudication engine expedites the processing of professional, facility, and dental claims as well as authorizations and referrals.

Having easy access to clear and concise information is of paramount importance. That's why we have integrated Seagate's Crystal Reports runtime environment into eMCee, providing a powerful and easy to use reporting mechanism to get at all your mission critical data.

 

Features & Benefits

Claims Processing & Adjudication

Benefit Management

Member & Eligibility Management

Contracts

Capitation

Accounting

Authorizations & Utilization Mgmt

Providers/Provider Groups/Payees

Reporting

Other Features

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