Manage your provider network with greater visibility and control
Your providers are the lifeblood of your MCO. That’s why AlphaMCS helps you maximize the potential of every member of your network.
Enhance communication with a full-featured provider portal
You can replace the haphazard communications with systematic, repeatable electronic processes that lock in best practices across your provider network.
- Direct Data Entry Claims Submission including CMS-1500 and UB-04
- Service Authorization Request and Status Tracking
- Enrollment and Referral Request
- Treatment Plan Submission
- Crisis Plan Submission and Retrieval
Funnel members to the most appropriate provider
You gain a leading-edge intake system that manages calls and helps you refer member to the right provider based on location, specialty and contracted services provided. You know not only what services a provider offers, but their preferences and strengths.
Monitor provider outcomes and complaints
You have complete visibility of all treatments, histories and case notes, so you can always verify your members are receiving the best possible care. You can configure the Provider Measures module to meet your specific needs. The system also includes in-depth management of complaints and resolutions. You always know the performance of your providers and can manage your network accordingly.