The Montana Municipal Interlocal Authority (MMIA) is a member-owned and member-driven organization that provides self-funded employee benefits, liability, property, and workers’ compensation coverage to incorporated cities and towns of Montana. MMIA was established so that cities and towns could achieve the stability they needed when the commercial insurance market was unavailable as a resource. MMIA pools the resources of its municipal members to provide quality, cost-effective self-funded coverage, and risk management services.
MMIA had been utilizing in-house resources to manually carry out their Medical Bill Review process for many years. However, the organization knew this process could be improved and began searching for an optimized Medical Bill Review solution. After vetting multiple vendor programs, Preferred Medical was selected as MMIA’s partner for this initiative due to our detailed expertise in Medical Bill Review, ability to implement a full, customized solution within a very quick timeframe, and unique vision that defines what an integrity-based medical bill review partnership should entail.
Working together to identify the optimal plan was critical as it would ensure full compliance with Montana’s regulations and fulfill the need for redundancy around this important process.
Preferred Medical immediately began working with MMIA to:
One of the real differentiators of working with Preferred Medical is our ability to quickly build and implement a robust solution that integrates with our clients’ existing IT infrastructure. In this case, Preferred Medical built and launched a custom Electronic Data Interchange (EDI) solution with MMIA’s existing claims management system, Origami. A process that can often take 12-18 months for a custom and effective EDI solution, was completed in 30 days.
Key features of the custom solution built for MMIA include:
The benefits of the custom solution implemented, include:
“We manually processed all provider bills in-house prior to our relationship with Preferred Medical. We needed to find a partner that would allow our team to focus on their top priorities as well as provide the expertise needed to ensure we maintained compliance. From the beginning of the relationship, Preferred Medical worked with us to understand our unique needs and then customized their solution for us. This included building an integration with our claim system within 30 days and at no cost to us. This custom electronic data interchange allows Preferred Medical to receive the necessary information and then return the data file with final review details saving our examiners significant time. They also have served as a key point of contact for our providers, which has improved our relationship with the providers as well as saved our team time and energy responding to inquiries. Preferred Medical has proven to be a great partner for us, and we look forward to continuing to work with them to improve our medical bill review processes.”
– Montana Municipal Interlocal Authority