What We Do

Cost Containment

Medical bill review software and services that serve as the central hub to your cost containment program.

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Document Management

Process and organize medical bills and all other claims-related documents in one location.

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software and services built around your unique needs.

Proprietary Software

We own and develop our software which allows for complete control and eliminates third-party roadblocks. Medata does not outsource or offshore any component of the design, development, quality assurance or implementation of our products.

Reliable & Compliant

Compliance to state-mandates is the core of what we do. The experience and expertise of our compliance team is unparalleled in the industry. All fee schedule, regulatory activity and legislative actions are continuously monitored, analyzed and released in the software bi-weekly.

Proprietary Reasonableness Database

Through years of investment and research, Medata developed a reasonableness database to determine a reimbursement rate when fee schedule rates do not apply. Our database is based on actual provider charges. This methodology has been upheld in numerous court cases. Our track record is unprecedented.

Safe & Secure Data

Medata uses today’s most advanced technology to ensure the data supporting your business is secure and protected from ever-changing risks. We maintain a safe infrastructure and apply accounting practices that satisfy the requirements of SOC-I and SOC-II Service Organization Control Reports.

Customized Workflows

Customization and flexibility are a hallmark of our software and service models. Our in-house development and professional service teams customize solutions that meet even the most complex workflows with configuration options from mailroom services to payment processing.

Advanced Reporting

Our report suite offers a visual analysis for each element of the program. We provide our clients with information to monitor business outcomes on savings, statistics, productivity and inventory to make intelligent, real-time decisions. Customized reporting options are available.

End-to-End Integration
for a Seamless Solution

Medata is passionate about our commitment to provide processes and partnerships that enhance your cost containment program.

Our mastered efficiencies in technology ensure a seamless solution with end-to-end integration. We provide access to all leading national and regional networks and claims systems. Our account strategists provide ongoing optimization analysis to determine the most geographically effective configuration to achieve the highest level of penetration available.

  • Claims Systems
  • PPO and MPN Networks
  • Specialty Networks
  • Pharmacy Benefit Management
  • Utilization Review
  • Nurse Case Management
  • Data Partners
  • E-Billing Clearinghouses
  • Payment Processing
  • Medata technology has allowed us to move our bill review process to the next level. We can now provide our clients with significantly greater fee schedule and overall savings, faster bill turnaround due to higher auto adjudication rates, and a more thorough review of bills with expanded routing rules.

    Leading Third-Party Administrator

    President

  • Medata is a partner in the true sense of the word. Their commitment to us as a bill review client and a vendor partner is evident in the relationship we have built and the results we have seen with their product and services. We can always depend upon Medata’s technology and customer service.

    Physical Medicine Company

    President

  • Our Medata team has lived up to the notion that they are the premier cost containment provider. Their technology department has been very easy to work with and the specialty network and negotiation teams get the results our staff expects from a top notch service provider. Most important to me, they provide this world class service at a fair price.

    Mid-Size Insurance Carrier

    Senior Vice President