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

Adjudication

In addition to Claims Management services, CMN offers detailed adjudication services where we:

  • Determine eligibility of claimant and claim
  • Investigate pre-existing conditions
  • Determine eligibility for extension of benefits on employee termination
  • Review contentious claims with CMN's Review Board
  • Audit of large dollar claims
  • Report statistical data to the insurer
  • Prepare and submit claims to the re-insurer for reimbursement
  • Investigate third party Liability
  • Coordinate Benefits
  • Coordinate Recoveries
CMN provides you with the expertise to effectively adjudicate international claims.
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