built around your members
maxMC® is a comprehensive, integrated suite of medical management software for managed care organizations and other entities administering healthcare plans and payments to member populations. It simplifies and supports complex processes, including member eligibility, authorizations, plan tracking – and more. Case managers, administrative teams and clinical staff can leverage maxMC for care authorization centers, requests for services and process improvements. The result is a member-centric system that helps your organization achieve better management across the entire continuum of care.

consumer-driven demands
As consumer-driven healthcare evolves and consumers actively engage in healthcare decisions and spending, the demand for care coordination, case management and disease management will grow. Effectively providing these services will be essential to member service and satisfaction. maxMC can help meet the demands – preparing your organization for success in the healthcare consumerism market.

streamline your services
maxMC improves your organization’s workflow, leading to enhanced intra-organization communication and greater coordination between provider and payor. It also streamlines your dataflow, allowing you to capture, manage and distribute information more effectively. The result is faster care authorizations, increased productivity and greater member service.

maxMC provides our partners:

• total member management. Efficiently managing your members at all risk levels is crucial for satisfaction and retention. maxMC assists your organization with its contacts, care coordination, appeals, case management and disease management programs.
  
  
• targeted medical management. maxMC’s care plan builder, survey builder and criteria builder help your organization provide the right services, at the right time – to the right members.
  
  
• operational improvements. You can configure and adapt it according to your organization’s workflow processes, clinical guidelines and business models. It provides a custom-made solution for improving efficiency and accuracy.