Seeking Answers to MLR? For Payers
Payers using PMCS Advance may also benefit from its application when calculating annual Medical Loss Ratios (MLR). PMCS Advance’s unique payment model combined with terms outlined in our Provider agreements creates a distinct payment pathway that significantly affect the way claims payment for health insurance may be defined. As a result and because PMCS does not charge a Payer administrative fee, claims processed through PMCS Advance favorably impact your MLR totals and also comply with National Association of Insurance Commissioners (NAIC) requirements. For more information on our MLR Solution, contact PMCS directly.