INFORMATION AND TECHNOLOGY

FEATURES

Support: robust report set for internal reporting requirements, client reporting package (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 cloud-based system handles HIPAA transaction sets, offers provider portals, rules engine and automation

AdminsTEP - sophisticated front-end workflow and pre-claims sub system. Provides ready retrieval of claim images and EDI synthetic images.

Cactus - robust credentialing software

In 2018, MSO inc. was only 1 of 2 organizations which received a large grant from Health Net. We used this grant to assist 2 of our clients who are contracts with Health Net with improvements and enhancements of their EMR, encounter data capture, tr… — In 2018, MSO inc. was only 1 of 2 organizations which received a large grant from Health Net. We used this grant to assist 2 of our clients who are contracts with Health Net with improvements and enhancements of their EMR, encounter data capture, transmission and exchange. These clients not only received free help but will also earn extra bonuses from all their contracted health plans for submitting timely and high volume patient encounter data.