MCO CentralTM is a software suite for Managed Care Organizations and Third Party Administrators to process workers’ compensation claims - from the first report of injury through case management, note entry, bill processing and payment, and reporting - while ensuring financial accountability.

A web-based ASP solution, the product is bundled with the option of outsourced business processes and other complementary services.

By streamlining your MCO or TPA business processes, MCO Central enables you to realize considerable cost advantages, reduce claims processing turnaround times, and achieve higher customer satisfaction. The ASP model includes a range of options - fully outsourced delivery, partially outsourced delivery and in-house implementation.

Features
The product’s robust functionality meets all your claims management needs and more.

• Web-based solution – enabling you to access the system from any Internet browser.
  
  
• Modular architecture – providing you with flexibility and extendibility. You pick the functionality you need.
  
  
• Automated EDI - ensures that transmissions are sent – on time, every time – without your intervention. The process is monitored at our data center to ensure data quality. The EDI module automatically transmits “changes only” – for all initial and subsequent data.
  
  
• Versatile reporting engine - provides users with over 40 standardized reports at their fingertips - with many more customizable report options.
  
  
• Complete financial accountability - Users can import bank statements, balance books, and reconcile statements at the end of every month.
  
  
• No down time – MCO Central is hosted out of our Tier 1 data canter – which means redundant data pipes, power, and data backups - resulting in zero down time.
  
  
• Improved productivity - Functionality is easily accessible through menus and lists modeled on Microsoft User Interface standards, making it extremely intuitive for users to navigate around the software.
  
  
• Security - Authorized, moderated, need-to-know access to functionality
  

Benefits
With MCO Central, you are able to significantly scale up your workers’ compensation claims processing.

Speed up operations Improve turnaround times

• Improve turnaround times
  
  
• Enhance staff productivity
  
  
• Provide seamless work flow through the entire claim life cycle

Improve customer service

• Provide 360 degree view of your customer
  
  
• Enable instant access to employer / claim information for faster and more accurate customer service response
  
  
• Share and control real-time information with your customers over the web

Enhance management

• Versatile reporting module
  
  
• Business Intelligence and data warehouse capabilities
  
  
• Reduce total cost of operations

Aid financial accounting

• Integrated check and EOB printing module
  
  
• Automatic book balancing with General Ledger
  
  
• Reconciles bank statements with adjustment log

Increase compliance HIPAA compliant architecture

• HIPAA compliant architecture
  
  
• EDI engine capable of handling HIPAA mandated ANSI X12 code standards
  
  
• OSHA compliant