- Administrative Infrastructure
- Enrollment and fulfillment
- Picture ID cards (MDI branded)
- Pre-authorization
-
Claims receipt, adjudication & payment
- Care management
- Fraud and abuse
- Provider network (proprietary)
- Regional offices
provide member services
(claims, member contact) - 24/7 customer service
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- Fraud & abuse (stand alone)
- PPO / network rental
- Analytics & business
intelligence
- Plan design and implementation
- Customized corporate services
-
Wellness & disease management
- Ambulatory services
- Auto E Mail
-
Auto SMS
- E Cards
- Web Grievance Tool
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