TAP Innovations Expands Services for Member Data Management and Medicare Information Access with MLR Tribal Solutions

MLR Tribal Solutions moves into phase two implementation of cloud-based system integration and replacement services

TAP Innovations, a leading provider of cloud-based integration solutions across people and data enterprises, announced today that it has completed implementation phase two for MLR Tribal Solutions. Additional functionality for billing and record management, provider data access and check claim processing supports MLR’s commitment to improve member experiences through better data from integrated systems. MLR Tribal Solutions, LLC provides Medicare-Like-Rate (MLR) claims  processing and payment for Native American Health Departments. TAP was recently selected to overhaul MLR member data management processes and manual efforts by replacing SharePoint and other non-integrated systems.

TAP solves Manual Efforts and Spreadsheets (MESS) with cloud-based solutions and components. Solutions for efficiencies in claims, check processing and billing data access highlights phase two implementation. MLR gains the ability to:

  1. Access pre-populated patient and provider NPI information
  2. Void, print and other efficiencies in claim check process
  3. Identify and match duplicate checks and records
  4. Capture clinical information like CPT codes
  5. Enhance claim image processing and validations
  6. Increase notifications and comprehensive reports

“Claims processing and billing plays a significant role in positive experiences for members, partners and MLR Tribal Solutions team members,” remarks John Ragsdale, TAP Co-founder and Board Chair. “Access to accurate, real-time data improves those experiences and we are thrilled to continue to provide MLR Tribal Solutions with market-leading solutions at an affordable price.”

Process automation enables MLR Tribal Solutions to automatically extract images from the claim processing batch and associate it with the claim. Also, verification technology validates that batch pages are not misassigned to claim images for accurate information processing.

Read more about the TAP and MLR business history here.

TAP eliminates the need for keeping and updating Excel spreadsheets and disparate file data while streamlining fragmented workflows and automating manual processes. TI Core is easy to implement and can meet immediate interoperability goals for organizations struggling with big system data gaps.

About TAP Innovations

theAppPlace (TAP) Innovations delivers cloud-based solutions for business Digital Transformation. TAP…THE Integrated TI Core automates manual processes and greatly reduces spreadsheet sprawl, actions data into information and performs intelligent content organization across people and entity enterprises. A growing set of TI Core Modules for CRM, Business Intelligence, Integrations, and more are web and mobile enabled and quick to fill data interoperability gaps with core business systems. TAP Innovations solutions have been implemented to streamline business processes for leading healthcare and financial management organizations as well as internal departments for companies from 50-15,000 employees and users. Visit https://tapinnov.com/ to learn more.