
Managed Care Risk Services (MCRS) ensures that MCMC has additional expertise, experience and scalability to support large clients. MCRS implements an innovative Cost of Risk model, rather than a standard Claims Management model. This aggressive approach ensures that the MCRS team triages and reviews each claim. Focused expertise “up front” means each case is immediately reviewed by our experts in investigations, subrogation, nurse case management and claims management.
MCRS focuses on the five milestones of claims management
- Investigations
- Compensability Decision
- Reserves
- Return to Work
- Closures
MCRS uses state-or-the-art technology in conjunction with an extensive provider network of physicians, clinics, hospitals, and pharmacies. We also participate in PPO networks that allow access to discounted services, which ultimately yield significant savings in medical and pharmacy costs.
