Setting the Standard for Industry Technology
MCNA provides a full range of dental benefits management services including:
- Primary and Specialty Care Dental Network
- Member Services
- Provider Relations
- Claims
- Enrollment
- Quality Assurance and Improvement
- Risk Management
- Credentialing
- Compliance
MCNA Dental manages enrollment, provider network, claims handling, and other operations data on a fully integrated proprietary management information system (MIS) called DentalTrac™. DentalTrac™ includes online benefit enrollment and eligibility determination, web based reporting and business intelligence, and end-to-end containment solutions, integrated into a powerful claims engine for seamless claims processing.
MCNA has successfully completed an independent, third-party SOC 2 audit of the processes and controls that ensure the security and availability of our information management systems and data.
Ultimate Flexibility
MCNA developed DentalTrac™ with uniquely structured modules allowing us to easily adapt to changes in our business such as enrollment growth and client reporting requirements.
Integrated Compatibility
DentalTrac™ is a fully integrated management information system increasing the efficiency and accuracy of our online enrollment, adjudication and billing processes.
Cost-Effective Scalability
DentalTrac™ is hosted across multiple geographically dispersed, military grade, secure, and state-of-the-art data centers. All hardware components are fully mirrored in every location guaranteeing high scalability and business continuity to support our current and future needs.
Online Enrollment and Eligibility
DentalTrac™'s comprehensive enrollment and eligibility module is based on a powerful rule set that is used to determine eligibility so that the only benefits offered are those for which an insured qualifies. DentalTrac's™ Enrollment and Eligibility foundation replaces time-consuming paperwork and increases accuracy to guarantee proper delivery of services while maintaining costs under containment.
Reporting and Business Intelligence
DentalTrac™'s complete business intelligence solution delivers clinical analysis with a zero footprint since the information is accessed through a browser. Business intelligence is available 24/7 such as paid claims, enrollment statistics, claims lag, plan productivity, utilization management, and provider and practice profiling among many other out-of-the box analytical reports. DentalTrac's™ reporting module is flexible enough to allow MCNA to deliver any custom report requested upon demand.
Claims Business Process
DentalTrac™'s claims management module allows for scanning and data entry, claims examination, plan building and claims processing audits, automatic claim adjudication, EDI, claims processing and pre-processing.
HIPAA Compliance
The DentalTrac™ system has been based on HIPAA-compliant solutions. MCNA is fully committed to ensuring a clear and easy path to HIPAA readiness well ahead of federally mandated compliance deadlines.
Interactive Web and Voice-Enabled Benefit Communication
DentalTrac™'s fully integrated, interactive and voice-based systems empower MCNA to offer 24/7 access to claims and benefit information, and real-time transactions such as EDI claim uploads.
