Conquer and administer claims with ease

myAvatar MSO

The myAvatar Managed Services Organization (MSO) is a comprehensive practice management software solution helps manage an organization’s financial risk by administering provider network contracts and integrating authorizations and claims processing.

The solution is highly adaptable, accommodating the specialized needs of states, counties, managed care organizations, specialty networks and providers who need to administer external provider contracts.

 

Save time and money managing your provider network

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AT A GLANCE

Benefits

  • Reduces administrative costs and overpayments to contracting providers
  • Supports both electronic data interchange (EDI) and manual processes
  • Integrates with ProviderConnectTM to offer an online solution for smaller contracting providers to request and track authorizations, submit claims and receive remittances

Features

  • Produces, accepts and adjudicates HIPAA compliant EDI Transaction Sets – 270/271, 276/277, outbound 278, inbound/outbound 837 and outbound 835
  • Enables organizations to automate the claim adjudication process, where edits can be configured to pay, pend or deny claims
  • Real-time access to provider contract limits and utilization
  • Provides staff with an efficient workflow for evaluating and processing service authorization requests by contracting providers

Clients

For myAvatar MSO

Behavioral Health

Following an individual’s progress is critical to delivering quality care. We know this, so we'll help you make the most of your resources.

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Community-based Outpatient Providers

Discover the outpatient management software, solutions and services that help outpatient and community-based providers drive the coordination of care among multiple care settings and manage daily clinical tasks through role-based workflows.

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Inpatient Psychiatric Facilities

From intake to discharge to after care, our inpatient EHR technology gives you access to the information you need to ensure smooth transitions and deliver whole-person care.

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Integrated Care

Our integrated care systems promote whole-person care by making it easy to coordinate with Federally Qualified Health Centers (FQHC) and process claims efficiently through Medicare and Medicaid.

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Medication-Assisted Treatment

Our medication-assisted treatment software will help you centralize care delivery, so you can help individuals on their road to recovery.

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State and County

Our technology solutions and services support the full range of programs offered by state and county health and human services organizations. The result: better outcomes and improved operational, clinical and financial performances.

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Care Coordination

Our care coordination software solutions support true, person-centered care, so you can track services and treatments for individuals across care settings, reduce duplicate services and simplify care transitions with secure data exchange.

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Connectivity and Integration

Technology that supports interoperability allows healthcare providers to embrace the power of networks, so individuals can receive the best, most cost-effective care possible.

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Data Analytics

Our healthcare data analytics platform is easy to use and provides at-a-glance metrics to clinical, financial and operational decision-makers. As a result, you can quickly determine if you achieve organizational goals and drive regulatory compliance. 

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Electronic Health Records

Our electronic health records (EHRs) offer workflows and functionality designed to meet the unique needs of the care communities you serve. Because they are purpose-built for human services and post-acute care providers, our EHRs make it easy for clinical, administrative and financial teams to access the information they need. 

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