CMN is committed to developing innovative services and programs to assist in controlling costs and enhancing people's Health.
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Services
Network Management
International Health Solutions
Claims Management

Adjudication

Out-of-Network Claims Management
Trust Account Management
Medical Case Management
Second Opinion
Air Ambulance Coordination
Client Communication
Centers of Excellence
24/7 Emergency Travel Assistance
Large Claim Review AcuEdit

Claims Management

CMN Claims Management services include:
Detailed review and evaluation of billing data to protect clients from incorrect and over billing:

  • Comparing to reasonable and customary charges
  • Unbundling
  • Reviewing for medical necessity

Claims Repricing:

  • CMN PPO
  • Price negotiation

Claims Processing:

  • Confirm eligibility of claims
  • Explanation of Benefits
  • Trust Account Management

Claims software developed for CMN to customize reporting and tracking

CMN ensures eligible claims are paid promptly and accurately.
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