Managed Care Organization System

The focus of the Anasazi’s Managed Care Organization System is to streamline the authorization and payment of claims, which is a complex task for every behavioral healthcare facility. To help you operationally improve this area, Anasazi has developed a system with four easy-to-use components.

The Payor/Contract Module is the foundation of the system. It establishes contractual arrangements, benefit plans, coverages and network providers. Benefit plans are maintained based on the exact services that are covered, the co-pays, deductibles and important reimbursement criteria.

The Network/Provider Module tracks the providers, facilities, locations, credentials/licensure of staff and "Rate Sheets." This flexible module can classify providers as single practitioners, private practices, group practices, or treatment facilities such as hospitals and community mental health centers.

The Membership/Client Module allows you to instantaneously verify a client’s benefits and previous activity within your organization. The Utilization Module facilitates the processing and maintenance of Requests for Authorization, Episodes of Care, and Issuance of Authorizations. Each module includes reporting capabilities for easy management.