MRF Engine for Payers Discussions

CitiusTech’s Machine-Readable File Engine (MRFE) is a platform agnostic, turnkey SAAS solution that helps payers accelerate CMS compliance for Coverage Transparency, generating machine readable file with in-network negotiated provider rates. This will empower members to make well-informed decisions about procedures and treatment options, based on prices. Solution Focus: As per CMS Transparency in Coverage Rule, health plans are required to publicly disclose in-network provider-specific reimbursement rates in a machine-readable file. CitiusTech’s MRFE helps health plans generate the mandated in-network file containing payer and provider negotiated coverage rates. Key Features: Highly Scalable architecture: Process large volume of data with complex and iterative business rule(s) Configurable and Modular: Enables ease of customization and enhancement Auditability and Transparency: Granular and detailed logging & notification framework MRFE can further enable Health plans with: Faster implementation of personalized cost estimator tool Unified view of negotiated rates enabling analytics for value-based payment models Optimization of provider network management with market insights Handle schema changes by CMS Monthly updates to MRF files Health plans can Improve member experience by providing: Easier access to costs across in-network providers enabling informed decisions Increased transparency that will influence competitive pricing and reduce overall costs When users leave MRF Engine for Payers reviews, G2 also collects common questions about the day-to-day use of MRF Engine for Payers. These questions are then answered by our community of 850k professionals. Submit your question below and join in on the G2 Discussion.