In 1998, MCR was formed by entrepreneurs with over 75 combined years experience in the health claims industry, to fill the void of cost containment options for the healthcare claims payors. Payors such as; Reinsurance, self-funded, third party administrators, self insured and Insurance companies, looking for ways to save claim dollars were in need of a one-stop shop that could provide all the options for claim payors to ensure that their health care claim dollars would be spent in the most efficient manner. Therefore, we provide:
- Negotiations
- Repricing
- Peer Review
- CPT code verification
- Unbundling of codes
- U & C
- Pre determination of Benefits
- Fraud review
- On site audit
- Translations
- Worldwide conversions
- Temporary Claims examiners to supplement your staff
This company envisions itself as a premier cost containment company with the ability and resources, whether internal or external, to provide a solution to it’s clients’ for their unique situations in the claims paying area.
We have moved forward with alliances and partnerships to accomplish this goal. Therefore, we serve and are serviced by a myriad of vendors/clients.
Now, Medical Claims Resource, Inc. is at a point where we want to look at all other opportunities available in the Health Care arena. We would like to expand and diversify so as not to become stagnant or dependent upon one particular portion of the industry.
Confidential Information
Additionally, our customers and suppliers entrust Medical Claims Resource, Inc. with important information relating to their businesses. The nature of this relationship requires maintenance of confidentiality. Employees and clients of MCR are required to obligate themselves to a confidentiality agreement. In safeguarding the information received, Medical Claims Resource, Inc. earns the respect and further trust of our customers and suppliers.
Customer Relations
The success of Medical Claims Resource, Inc. depends upon the quality of the relationships between Medical Claims Resource, Inc., our employees, customers, suppliers and the general public. Our customers' impression of Medical Claims Resource, Inc. and their interest and willingness to do business with us is greatly formed by the people who serve them.