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Payers
send out-of-network, medical claims directly to MCFG via a HIPAA-compliant
electronic data interchange (EDI) or facsimile.
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Our
state-of-the-art claims management system captures incoming claims and
enables us to negotiate discounts
off allowable charges with hospitals,
physicians and ancillary care providers.
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MCFG partners with some of the largest and most
respected preferred provider organizations in the nation to access discounts
and generate savings.
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Our
cutting-edge communications center gives MCFG claims negotiators the ability
to electronically share documents with and capture signatures from providers,
thus eliminating manual handling and accelerating claim settlements.
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Providers agree to transfer claim ownership
rights to MCFG.
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MCFG uses the
Automated Clearing House Network, a leading cash management system, to facilitate provider payments.
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Payers continue to make checks payable to the
provider but remit payment to MCFG.
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Using real-time Web reports, MCFG provides
complete financial disclosure of all provider discounts achieved, giving our
clients complete transaction visibility.
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