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Also Visit: InsightPro RevEx ClaimEDIx American Healthcare Alliance
 * Home
 * Products
   
   
    * PRODUCTS
      
      Our products emerge from a deep understanding of the challenges faced by
      healthcare payers and Providers
      
      View All Products
   
    * InsightPRO
      
      AI-Powered Workforce Analytics
   
    * RevEx
      
      Comprehensive Revenue Cycle Management
   
    * Golem
      
      Efficient Claims Processing Tool
   
    * Mage
      
      Advanced Contract Modeling
   
    * DocGem
      
      Integrated Workflow and Document Management
   
    * MCO PRO
      
      Robust Managed Care System

 * Solutions
   All Solutions
   Payers
   
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    * Claims Administration
    * Provider Call Center
    * Digital Mailroom Management
    * Data Capture
    * Member Enrollment
   
    * Business Rule Configuration
    * Quality Assurance
    * Reporting & Analytics
    * No Surprises Act
      
    * Managed Services
   
   Providers
   
   --------------------------------------------------------------------------------
   
    * Revenue Cycle Management
    * Practice Management
    * Payer Administrative Services

 * Resources
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    * Blogs
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    * Case Studies
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 * Contact
   
   


REVOLUTIONIZING
RCM WITH INNOVATIVE
TECHNOLOGY SOLUTIONS

Empowering healthcare providers with cutting-edge revenue cycle managament,
optimizing operations, enhancing patient experiences and maximizing revenue


VISIT RevEx


INNOVATIVE BUSINESS SOLUTIONS FOR
HEALTHCARE PAYERS AND PROVIDERS

Transforming the healthcare industry through the development of practical and
effective solutions powered by unique technologies and continuous innovation


TALK TO OUR EXPERTS TODAY


A WORKFORCE
ANALYTICS PLATFORM BUILT
SPECIFICALLY FOR PAYERS

First-of-its-kind AI/ML enabled workforce management platform that helps improve
operational efficiencies


VISIT InsightPro


REVOLUTIONIZING
RCM WITH INNOVATIVE
TECHNOLOGY SOLUTIONS

Empowering healthcare providers with cutting-edge revenue cycle managament,
optimizing operations, enhancing patient experiences and maximizing revenue


VISIT RevEx


INNOVATIVE BUSINESS SOLUTIONS FOR
HEALTHCARE PAYERS AND PROVIDERS

Transforming the healthcare industry through the development of practical and
effective solutions powered by unique technologies and continuous innovation


TALK TO OUR EXPERTS TODAY


A WORKFORCE
ANALYTICS PLATFORM BUILT
SPECIFICALLY FOR PAYERS

First-of-its-kind AI/ML enabled workforce management platform that helps improve
operational efficiencies


VISIT InsightPro


REVOLUTIONIZING
RCM WITH INNOVATIVE
TECHNOLOGY SOLUTIONS

Empowering healthcare providers with cutting-edge revenue cycle managament,
optimizing operations, enhancing patient experiences and maximizing revenue


VISIT RevEx
 * 1
 * 2
 * 3

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SIMPLIFYING DECISION-MAKING WITH REAL-TIME PAYERS DATA ANALYTICS

Whether you are looking to contain costs, improve employee engagement, or
increase quality of process, analytics plays a vital role in achieving these
objectives. Our proven analytic solutions help you harness vast amounts of data
flowing through your organization, enabling insight-driven operations, enhancing
efficiencies, and driving clinical/business value.

Talk to our solution expert


WHAT PROBLEM CAN WE SOLVE?

Leverage a one-stop solution like InsightPro to handle everything quickly and
easily
OR

MAKE DATA CAPTURE EFFICIENT (WITH GOLEM)

PROVIDE QUICK AND SECURE ACCESS TO ALL RECORDS (WITH DOCGEM)

VERIFY AND UPDATE PROVIDER DIRECTORIES IN REAL TIME (WITH NO SUPRISES ACT)

CONSOLIDATE, ANALYZE AND MAINTAIN ALL DATA (WITH REPORTING AND ANALYTICS)


WHY MDI NETWORX?

We offer the right suite of solutions for the post-pandemic challenges that
healthcare payers face. Our intelligent solutions can help you beat the odds
faster.

DIGITAL INTAKE

Automation is the answer to increased customer expectations, reduced staff, and
lowered administrative costs. Going digital can improve efficiency and
productivity.

CORE ADMIN SOLUTIONS

Businesses like yours need to continue to offer the same levels of services with
fewer personnel. Let us automate your core admin responsibilities.

DIGITAL MAILROOM & FULFILLMENT

Our cost-effective mailroom management software will increase productivity in
your organization through scanning solutions and more.

Know more


OUR PRODUCTS

Our products emerge from a deep understanding of the challenges faced by
healthcare payers today with a suite of proven solutions geared to tackle those
challenges head on.

INSIGHTPRO

This customizable tool is designed to enhance efficiency and performance across
your operations.




Know More

REVEX

RevEx is an advanced Revenue Cycle Management platform crafted to streamline and
optimize healthcare billing processes.



Know More

GOLEM

As a frontend claims processing solution, Golem offers an elegant interface for
a seamless backend workflow.



Know More

DOCGEM

Using automation, this tool handles the critical tasks of record access,
confidentiality, workflow distribution, and reporting.



Know More

MCO PRO

This fully-automated PPO routing and repricing application performs tasks
efficiently and with complete transparency, which can be accessed any time
during the claim process.



Know More

MAGE

This tool will reduce time, cost, and effort in preparing and negotiating
contracts that are financially viable to providers.



Know More


OUR SOLUTIONS

We work with our clients to manage the more mundane responsibilities of
business, giving their team more time
to focus on their core capabilities.

ALL

PAYERS

PROVIDERS

CLAIMS ADMINISTRATION

With our experienced onshore and offshore claims adjudication and adjustment
professionals, healthcare payers and TPAs are assured faster settlements, better
accuracy and lower processing costs per claim.

Know more

PROVIDER CALL CENTER

With advanced technology and experienced agents, we optimize communication
channels and improve operational efficiency. Trust MDI NetworX as your Provider
Call Center partner to enhance patient care and streamline your organization's
communication needs.

Know more

REVENUE CYCLE MANAGEMENT

Our Revenue Cycle Management (RCM) solution is designed to address the
complexchallenges healthcare providers face in managing their finances
effectively.


Know more

PRACTICE MANAGEMENT

Enhance efficiency and compliance with our customized practice management
solutions. Streamline financials, credentialing, and IT support seamlessly.

Know more

PAYER ADMINISTRATIVE SERVICES

Streamline operations and boost member satisfaction with our expert Payer
Administrative Services, featuring precise compensation management and advanced
tech integration.

Know more

DIGITAL MAILROOM MANAGEMENT

Take advantage of our ultra-modern technology that brings to you exceptional
mailroom and scanning solutions and gives your operations the benefit of OCR
ready (300 DPI) images.

Know more

DATA CAPTURE

ML/AI is put to good use via Optical Character Recognition (OCR) and Intelligent
Character Recognition (ICR) technologies. This helps you capture data from
printed as well as hand-written forms and correspondence documents, and convert
them into EDI.

Know more

MEMBER ENROLLMENT

Healthcare payers and related third party administrators can discover
high-quality member enrollment, premium billing, eligibility support and member
fulfilment solutions.                    

Know more

BUSINESS RULE CONFIGURATION

Allow our experienced and certified configuration analysts to use their skills
and help you configure benefit plans, pricing, provider network, etc. on all the
popular claims administration platforms.

Know more

QUALITY ASSURANCE

Improve the overall efficiency of your operations with our 1st Pass and 2nd Pass
audit solutions that can help you meet the solution levels of claims and also
provide re-training triggers.

Know more

REPORTING & ANALYTICS

Our team of experienced and qualified MIS analysts and reporting specialists can
take your complicated reporting tasks and turn in finished reports within the
stipulated turnaround time.

Know more

NO SURPRISES ACT

As the US healthcare arena gets ready for the No Surprises Act, we will help you
navigate this changing landscape with our expert manpower and years of
experience.

Know more

MANAGED SERVICES

We have a strong focus on emerging technologies and towards that we invest in
the latest tech innovation to facilitate high-quality tech solutions for our
clients.

Know more
Previous




MANAGED SERVICES

We have a strong focus on emerging technologies and innovations that we invest
in to offer our clients high-quality tech services.

Learn More




CLAIMS ADMINISTRATION

With our experienced onshore and offshore claims adjudication & adjustment
professionals, healthcare payers & TPAs are assured faster settlements, better
accuracy and lower progressing costs per claim.

Learn More




NO SURPRISES ACT

As the US healthcare arena gets ready for the No Surprises Act, we will help you
navigate this changing landscape with our skilled manpower and
years of experience.

Learn More




REVENUE CYCLE MANAGEMENT

Our Revenue Cycle Management (RCM) solution is designed to address the
complexchallenges healthcare providers face in managing their finances
effectively.

Learn More




DIGITAL MAILROOM MANAGEMENT

Take advantage of our ultra-modern technology that brings you exceptional
mailroom and scanning solutions by offering your operations the benefit of OCR
read
(300 DPI) images

Learn More




DATA CAPTURE

We put ML/AI to good use via Optical Character Recognition (OCR) and Intelligent
Character Recognition (ICR) technologies. This helps you capture data from
printed / hand-written forms and correspondence documents, and convert them into
EDI.

Learn More




MEMBER ENROLLMENT

Healthcare payers and related third party administrators can discover
high-quality member enrollment, premium billing, eligibility support, and member
fulfillment services.

Learn More




BUSINESS RULE CONFIGURATION

Allow our experienced and certified configuration analysts to use their skills
to help you configure benefit plans, pricing, provider network, etc. on all of
the popular claims administration platforms.

Learn More




QUALITY ASSURANCE

Improve the overall efficiency of your operations with our 1st Pass and 2nd Pass
audit services that can help you meet the service levels of claims through
provided re-training triggers.

Learn More




REPORTING & ANALYTICS

Our team of experienced and qualified MIS analysts and reporting specialists can
take your complicated reporting tasks and turn them in finished reports within
the stipulated turnaround time.

Learn More




MANAGED SERVICES

We have a strong focus on emerging technologies and innovations that we invest
in to offer our clients high-quality tech services.

Learn More




CLAIMS ADMINISTRATION

With our experienced onshore and offshore claims adjudication & adjustment
professionals, healthcare payers & TPAs are assured faster settlements, better
accuracy and lower progressing costs per claim.

Learn More




NO SURPRISES ACT

As the US healthcare arena gets ready for the No Surprises Act, we will help you
navigate this changing landscape with our skilled manpower and
years of experience.

Learn More




REVENUE CYCLE MANAGEMENT

Our Revenue Cycle Management (RCM) solution is designed to address the
complexchallenges healthcare providers face in managing their finances
effectively.

Learn More




DIGITAL MAILROOM MANAGEMENT

Take advantage of our ultra-modern technology that brings you exceptional
mailroom and scanning solutions by offering your operations the benefit of OCR
read
(300 DPI) images

Learn More




DATA CAPTURE

We put ML/AI to good use via Optical Character Recognition (OCR) and Intelligent
Character Recognition (ICR) technologies. This helps you capture data from
printed / hand-written forms and correspondence documents, and convert them into
EDI.

Learn More




MEMBER ENROLLMENT

Healthcare payers and related third party administrators can discover
high-quality member enrollment, premium billing, eligibility support, and member
fulfillment services.

Learn More




BUSINESS RULE CONFIGURATION

Allow our experienced and certified configuration analysts to use their skills
to help you configure benefit plans, pricing, provider network, etc. on all of
the popular claims administration platforms.

Learn More




QUALITY ASSURANCE

Improve the overall efficiency of your operations with our 1st Pass and 2nd Pass
audit services that can help you meet the service levels of claims through
provided re-training triggers.

Learn More




REPORTING & ANALYTICS

Our team of experienced and qualified MIS analysts and reporting specialists can
take your complicated reporting tasks and turn them in finished reports within
the stipulated turnaround time.

Learn More




MANAGED SERVICES

We have a strong focus on emerging technologies and innovations that we invest
in to offer our clients high-quality tech services.

Learn More
Next


OUR RESOURCES

Our leaders have a wealth of knowledge to share with clients and partners.

blog

FRAUD PREVENTION IN CLAIMS ADMINISTRATION: STRATEGIES AND TECHNOLOGIES

Discover how AI, ML, NLP, and blockchain technologies enhance fraud

Read More    
blog

UNLOCKING 25% IMPROVEMENT IN CLAIMS QUALITY: THE AUTOMATION ADVANTAGE

Discover how AI-powered automation enhances claims accuracy, reduces
resubmissions, cuts

Read More    
blog

EFFECTIVE STRATEGIES FOR SUCCESSFUL COLLECTION FROM THIRD-PARTY PAYERS

Discover proven strategies to streamline payments from insurance companies,
improve

Read More    
blog

THE IMPORTANCE OF DATA ANALYTICS IN OPTIMIZING REVENUE CYCLE MANAGEMENT

Data analytics optimizes revenue cycle management, reduces claim denials, and

Read More    
View All Resources


INSIGHTPRO,
MDI'S FLAGSHIP OFFERING

Our healthcare insurance payer operations cover a gamut of services, including
high-quality Services, Consultation and IT Solutions. We are committed to
providing exceptional services that meet the exact needs of healthcare payers,
and towards that we deploy the latest technologies.

Know More



CLIENT TESTIMONIALS

Hear what our clients have to say about working with MDI NetworX.

Megan
Director of Claims and Care Management



I just wanted to take a moment to share some feedback that I have been receiving
from my Claims leads (and some of my own) that your team works with on a
day-to-day basis. I have consistently received the feedback that your team is
responsive, meticulous in the work, and constantly polite

Ryan
Manager, Claims Operations



I wanted to thank you and the team for the excellent work that you are doing for
the Accumulator Requests. You were able to beat the committed completion dates,
which is very much appreciated. Please share my appreciation with the team!
Great work and thank you!

Lisa
Lead Auditor, Quality Control Specialist



You have been doing a great job with all the extra stuff we have been sending
your way like the special claims and the stop loss claims plus the claims that
need 3 or 4 levels of audit. Thank you and your team for always stepping up and
helping out.


OUR CERTIFICATIONS

All our products and services are certified by reputed worldwide organizations.




JOIN MDI

If you’re looking for a fast-paced career with numerous rewards and
recognitions, then join MDI NetworX today

Search and apply


MDI NetworX, as a leading global provider of business management solutions, is
committed to delivering exceptional services and solutions to health plans,
benefit administrators, and networks to help them reduce operational costs,
increase first-pass adjudication rates, and improve customer service.

Contact us


PRODUCTS

InsightPRO RevEx Golem Mage DocGem MCO PRO

SOLUTIONS

   
   
 * Payers
 * Claims Administration
 * Provider Call Center
 * Digital Mailroom Management
 * Data Capture
 * Member Enrollment
 * Business Rule Configuration
 * Quality Assurance
 * Reporting & Analytics
 * No Surprises Act
   
 * Managed Services

   
   
 * Providers
   
   
   
   
   
 * Revenue Cycle Management
 * Practice Management
 * Payer Administrative Services

RESOURCES

Blogs Newsroom Case Studies Infographics

QUICK LINKS

Sitemap Policies and procedures

ABOUT US

Company Overview Careers CSR

MDI SITES

MDI NetworX InsightPro RevEx ClaimEDIx American Healthcare Alliance

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