A Medical Management Services Organization

Information Services

MSO Inc. has made substantial investment in its IS infrastructure. MSO Inc.'s approach is a blend of automation and technician review to create the best possible result for each Client.

    Features

  • Robust report set to meet internal reporting requirements.
  • Client reporting package including financial performance, utilization statistics and MCR performance reporting
  • Automated transaction processing (EDI claims)
  • Online authorization and claim submission, lookup and retrieval.
  • HIPAA transaction set compliant (including 5010 transactions)
  • Automated workflows and adjudication.

    Technology

  • eHealth Systems: Comprehensive MIS. Handles all HIPAA transaction sets, offers provider portals, rules engine and automation.
  • AdminsTEP: Sophisticated frontend workflow and pre-claims sub system. Provides ready retrieval of claim images and EDI synthetic images.
  • Cactus: Robust credentialing software