Claimshop Ltd., an IMACS (Innovative Managed Care Systems Ltd.) company, has signed a new contract with Midlands Choice (MC), a Midwest pre-eminent preferred provider organizations (PPOs), to reprice and manage more than three million healthcare claims a year for the PPO.
MC is one of Claimshop’s largest clients. It has more than 18,000
physicians and other licensed healthcare professionals, 290 hospitals and 1,000 ancillary healthcare providers in a core network that spans Nebraska, Iowa and eastern South Dakota. In addition, MC has providers in portions of Colorado, Wyoming, Kansas, Missouri, Illinois, Wisconsin and Minnesota.
Claimshop, IMACS’ claims repricing company, began working with MC in 2002. At that time, claims were processed and distributed mostly through manual operations.
In recent months, 99.5 percent of claims are entered electronically and 96 percent are repriced within 48 hours. More than 50 percent of claims are sent electronically to the insurer instead of being printed and mailed.
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