Services - Americanmso

Our Services

AmericanMSO Services

Please check below regarding the services we provide for Claims, Contracting, Credentialing, Customer Service, Finance, Health Education, Provider Relations, and Utilization Management.

Claims

American MSO claims department provides efficient and prompt claims processing services for our Contracted IPAs, Managed Hospitals and provides claims adjudication in contract agreements.

Contracting

Innovative Management Systems’ Contracting Department serves an integral role in network management.Services include building, expanding, and maintaining.

Credentialing

American MSO offers credentialing and re-credentialing for providers and facilities. The team conducts monthly monitoring of the network and maintains records.

Customer Service

American MSO provides extensive training to our Customer Service team to equip them with the knowledge and tools needed to offer meaningful and positive member .

Provider Relations

Provider Relations team works to support and keep our physicians current with managed care policies. By providing management services that the administration of their practice

Utilization Management

Utilization management or utilization review is the use of managed care requirements for prior authorizations and hospital clinical review.which will allow payers, particularly health insurance.

Health Education

The Health Education Department offers a wide range of health information topics to meet our members’ and providers’ needs.Our Health Education Department’s goal is to promote a healthy lifestyle

Quality Management

The Quality Management Department coordinates quality of care, and quality of service issues for our contracted clients with their contracted Health Plans