List of MHK CareProminence Customers
Tampa, 33607, FL,
United States
Since 2010, our global team of researchers has been studying MHK CareProminence customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased MHK CareProminence for Medical Care Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using MHK CareProminence for Medical Care Management include: Centene, a United States based Healthcare organisation with 60500 employees and revenues of $163.07 billion, Blue Cross and Blue Shield of North Carolina, a United States based Insurance organisation with 5000 employees and revenues of $12.00 billion, SCAN, a United States based Healthcare organisation with 1500 employees and revenues of $4.30 billion, Health Partners Plans, a United States based Healthcare organisation with 900 employees and revenues of $200.0 million and many others.
Contact us if you need a completed and verified list of companies using MHK CareProminence, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The MHK CareProminence customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Blue Cross and Blue Shield of North Carolina | Insurance | 5000 | $12.0B | United States | MedHOK | MHK CareProminence | Medical Care Management | 2024 | n/a |
In 2024, Blue Cross and Blue Shield of North Carolina moved medical drug prior-authorization submission traffic to the MHK provider portal accessed via Blue e, centralizing pharmacy and medical prior authorizations into MHK CareProminence within the Medical Care Management category. The change consolidated submission channels to a single provider-facing portal and positioned MHK CareProminence as the system of record for electronic prior authorization workflows.
The deployment leveraged MHK CareProminence's electronic prior authorization capabilities to standardize submission forms, introduce automations for clinical data capture and routing, and enable provider status tracking to support increased electronic submission rates. Configuration work focused on provider portal workflows and unified intake and adjudication paths so pharmacy and medical prior authorizations follow consistent processing logic.
The initiative affected provider workflows across North Carolina and was executed with a 2024 rollout that included compliance and training activities intended to drive ePA adoption and streamline administrative processes. Integration used the Blue e provider portal as the access point to the MHK provider portal, and governance emphasized centralized submission handling, provider-facing operational controls, and standardized workflow procedures.
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Centene | Healthcare | 60500 | $163.1B | United States | MedHOK | MHK CareProminence | Medical Care Management | 2024 | n/a |
In 2024, Centene routed MedPharm prior authorizations into MedHOK MHK CareProminence as part of a utilization management transition for MHS Health Wisconsin. The deployment centralized pharmacy and utilization management workflows in the United States and established a single routing mechanism for prior authorization submissions beginning December 2, 2024.
The MHK CareProminence deployment focused on prior authorization routing and utilization management orchestration, using platform routing capabilities to consolidate intake, case assignment, and status tracking. Configuration emphasized pharmacy PA workflow mapping, automated routing rules for payer segments, and notification workflows to downstream utilization management and pharmacy services teams.
Centene used MHK CareProminence as the Medical Care Management solution to tie Centene Pharmacy Services submission streams from MedPharm into the Compass-MHK system, consolidating PA handling through the MHK platform. Operational coverage was scoped to pharmacy and utilization management for MHS Health Wisconsin across the United States, aligning intake, routing, and case management within the Medical Care Management application.
Governance and rollout were executed as part of the utilization management transition, moving prior authorization submission routing to a single platform and updating submission flows effective December 2, 2024. The implementation enabled a centralized routing pathway for prior authorization processing through MHK CareProminence and institutionalized consistent handling of PA submissions within Centene Pharmacy Services.
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Health Partners Plans | Healthcare | 900 | $200M | United States | MedHOK | MHK CareProminence | Medical Care Management | 2024 | n/a |
In 2024, Health Partners Plans implemented MHK CareProminence to centralize prior authorization submissions and streamline utilization management workflows. The MHK CareProminence deployment is classified as Medical Care Management and targeted a provider-portal integrated go-live on March 4, 2025, to consolidate authorization intake across multiple lines of business.
The implementation focused on utilization management and provider portal workflows, configuring workflow orchestration for inbound authorization intake and routing. MHK CareProminence was used to standardize authorization intake processes and instrument provider-facing submission pathways consistent with Medical Care Management functional patterns.
Operational coverage was concentrated in the Mid-Atlantic region, with the project scope explicitly covering multiple lines of business and provider-facing teams responsible for utilization management. The provider-portal integrated go-live indicates a front-end integration to accept and manage provider submissions as part of authorization intake consolidation.
Governance included formal training and staged rollout communications to providers, with coordinated cutover planning for the provider portal go-live on March 4, 2025. Health Partners Plans, MHK CareProminence, Medical Care Management and utilization management are explicitly linked in the implementation, reflecting a centralized approach to prior authorization intake and provider workflow orchestration.
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Healthcare | 1500 | $4.3B | United States | MedHOK | MHK CareProminence | Medical Care Management | 2018 | n/a |
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Buyer Intent: Companies Evaluating MHK CareProminence
- PSG Equity, a United States based Banking and Financial Services organization with 150 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
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