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Thank You
Thank you for your request. One of our schedulers will contact you within 24-48 hours. Please allow extra time if you submitted this request on a weekend. If you have an urgent need, contact the Medegy Health Systems office right away by calling (786) 441-8465 in Miami, Florida, or toll-free at (888) 225-0535.
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Why Choose Us?
Why Choose Us?
At Medegy Health Systems, we make benefits administration a breeze with our robust suite of services customized to fit your organization’s specific needs. We bring value and ensure success for specialty provider networks, health plans, and other managed care organizations through our diligence, attentiveness, and advanced technology. We believe in working closely with our clients and their members to fully understand their requirements. This allows us to provide the highest and most efficient level of benefits administration that caters precisely to their needs.
Personalized, 24/7 Support
Dedicated, bilingual account representatives and 24/7 support mean no questions go unanswered. It’s no wonder we have a 100% customer retention rate.
Customized Solutions
Your needs are our top priority. We tailor-fit our services to meet your specific requirements. We provide proven solutions with noteworthy results, including:
- 99.4% EDI Clean Claim Rate
- 98.7% Claim Auto Adjudication
- 99% Claim Processing Accuracy
- 1.5M+ Claims Processed
- 13M+ Patient Records Managed
- 60,000+ Calls Handled Annually
Advanced Technology
Streamline tasks and free up resources with our range of advanced technology solutions. With Medegy Health Systems, you get advanced, fully integrated technology and expertise all under one roof.
Our state-of-the-art technology makes it easy to:
- Securely send messages
- Process claims
- Make eligibility requests
- View claim status
- Learn about payments
- Manage health plans
- Access provider resources
- Request prior authorizations
Do you need more reasons to choose Medegy Health Systems? Call us in Miami, Florida, at (786) 441-8465 or toll-free at (888) 225-0535 and we’d be happy to walk you through all the ways we can help your organization. You can also request a consultation with us now.
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Welcome to Medegy Health Systems
Working with you, for you
As a full-service, licensed third-party administrator, Medegy Health Systems has more than 30 years of experience working with specialty provider networks and health plans, including managed care organizations, to manage more than 2 million patient lives. Our proprietary managed-care software and processes help streamline the healthcare administration process, so network providers can focus their time and energy where it’s needed most: on patient care – not paperwork.
Why Choose Us?
As an industry leader, Medegy Health Systems is committed to providing our clients the very best in advanced technology, customized 24/7 support, as well as targeted solutions and services. It’s no wonder we have a 100% customer retention rate.
Who We Serve
We offer our full continuum of healthcare TPA services to our health plan clients, such as Medicare, Medicaid, and commercial plans – as well as provider networks across a broad range of specialties, from audiology to urology and everything in between.
“Humana has successfully partnered with Dr. Stern’s organizations in Florida for more than 30 years. I highly recommend his organization and his team.”
Services
Discover how we can manage your claims, increase your bottom line, and improve member satisfaction. You can rely on our decades of experience successfully managing fee-for-service (FFS) and capitation (CAP) contracts for commercial, Medicare, and Medicaid plans.