MSO of Puerto Rico, LLC (MSO) started in 2007 administering the first contracts to providers and was established on August 1, 2009 as an independent legal corporation to provide services to MMM Healthcare, LLC (MMM) and the whole medical community.
MSO of Puerto Rico is an organization that provides administrative support to medical plans and medical groups. It focuses on operational optimization for the benefit of all its customers and the patients they serve in tune with the needs and new trends of the health industry. The organization is known for helping its clients achieve optimal results through innovation. They are facilitators of organizational solutions focused on improving quality metrics through initiatives and collaborative strategies that promote effective care models.
They work together with more than 8,000 health care providers to provide the health care that their affiliates need. These providers include hospitals, primary physicians, specialists, medical groups, pharmacies, emergency centers, and an extensive list of supplemental service providers.
The mission of MSO is to improve the health and well-being of the people of Puerto Rico through innovation and true change. They achieve this by creating lasting partnerships that deliver excellent results, financially and professionally. The key to success is always ensuring satisfaction through a service mindset aimed at developing and implementing solutions for the benefit of the client and the patients they serve.
From the beginning, MSO has focused its efforts to improve health services throughout Puerto Rico. The industry is moving towards a care model based on quality and innovation, and MSO's efforts are geared towards offering it.
This portal is an integrated and effective communication channel between its customers and the network of providers. The portal provides access to up-to-date clinical information more quickly and accurately to support the continuity of beneficiary services. The new version of InnovaMD 2.0 adds more features and includes an increase in the level of security in compliance with federal and state regulations, simplifying the user experience, and ensuring the information and transactions performed on the portal.
Beneficios y Funcionalidades
MSO ensures service satisfaction through the commitment to develop and implement solutions that promote communication and education as the main focus. In this way, they create long-lasting relationships that offer financial and professional rewards.
Some of its tools include:
In order to continuously provide the provider network with alternatives where it is ensured that their data is recorded in an easy and fast way, they coordinated the services of a delegated entity that provides electronic contracting, credentialing and provider document validation.
Offer claim payment and processing services that are versatile, flexible and accurate. In addition, it complies with the payment time standards established by state and federal entities.
As part of the commitment to the health of patients, they offer services dedicated to improving and controlling their health conditions, thus ensuring a continuous and coordinated care among the different health providers of the patient.
To guarantee integral wellbeing, it is necessary to attend the mental health and conditions of living of the patients. This is why two dedicated units have been established to meet these needs.
As part of efforts to support our providers in collecting data in a cost-effective manner, and in turn achieving greater commitment from patients, we have developed different innovative programs. These include:
For more information on MSO of Puerto Rico, LLC you can contact:
Monday to Friday 7:00 a.m. to 7:00 p.m.
PO BOX 71500
San Juan, P.R. 00936
Medicare y Mucho Más (MMM) (HMO), PMC Medicare Choice (PMC) (HMO) and FIRST+PLUS (PPO), products offered by MMM Healthcare, LLC, are plans with a Medicare contract. Enrollment in the plans depends on contract renewal. To enroll, you must have Medicare Parts A and B, have not been diagnosed with End Stage Renal Disease (ESRD) and reside within the 78 municipalities of the Island. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. MMM Healthcare, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-333-5470. (TTY: 1-866-333-5469). Lunes a domingo, de 8:00 a.m. a 8:00 p.m.
H4003-MMM Healthcare, LLC H4004-PMC Medicare Choice H7522-MMM Healthcare, LLC Y0049_2017 4006 0005 1 Approved
© 2017 MMM Healthcare, LLC