Here’s how others have benefitted.

The timeline below represents a sample treatment cycle for
a breast cancer patient, and how MCL helps along the way.

A Breast Cancer Patient

• Testing and Prelimary Diagnosis

  Performed by Primary Care Physician, Radiologist, Pathologist

  • Primary Care Physician detects “something” and recommends further investigation
  • Patient is usually scared and unfamiliar with their coverage

  MCL Solution: We complete a benefit investigation empowering the patient.

• Testing Performed by Radiologist, Breast Surgeon, Pathologist

  • Radiologist or Pathologist obtaining a core biopsy or cell sample could be out-of-network

  MCL Solution: We maximize reimbursement, in or out-of-network.

• Diagnosis Confirmation Performed by Medical Oncologist

  • Patients does not want to wait to see doctor in-network, seeks care regardless of coverage

  MCL Solution: We manage out-of-network claims.

• Second Opinion Performed by Medical Oncologist

  • Often not covered (even in-network)

  MCL Solution: We work to minimize the out-of-pocket burden.

• Removal of Tumor Performed by Surgeon

  • Patients want immediate care from the best doctor and best course of treatment, regardless of coverage
  • Surgery means an overwhelmingly large number of complicated and unfamiliar bills for the patient

  MCL Solution: As the advocate for the patient, MCL establishes medical necessity and provides precertification triage. Patient delegates bills to MCL.

• Reconstructive Surgery Performed by Plastic Surgeon>

  • Surgery is often considered “elective” by carriers if done after initial surgery or if the patient wants prophylactic co-lateral breast removal

  MCL Solution: MCL establishes medical necessity for the patient while patient delegates bills to MCL.

• Post-Op Radiation Treatment Performed by Radiation Oncologist

  MCL Solution: MCL provides precertification support for novel treatments including biologics that would be administered post-surgery.

• Post-Op Chemotherapy Performed by Medical Oncologist

  • Coverage for the treatment of certain side effects of chemotherapy is often complicated

  MCL Solution: MCL works to minimize costs of treatment.

• Long-Term Survival Health Care Provider: Primary Care Physician

  MCL Solution: MCL provides claims management and advisory services for post-op ancillary and outpatient services with DME and Home Health.