New User Registration Form

Please take a few moments to answer the questions in the following form. This information will assist us in providing content for this web site that is meaningful and relevant for CareRadius, Maxsys II, and maxMC users.

Once your account has been added, you will receive email notification within 2 business days that your account is ready for you to log in.

Note:  Only authorized users of supported clients using licensed EXL Landa software will be provided access to the Client Community. A client based email address must be used for registration to this site; no public or general email addresses are allowed (i.e. gmail, yahoo, etc.)

Thank you very much for your help!


Identification and Contact Information
Note: Required fields are marked with an asterisk.
Organization *
Last Name *
First Name *
Email Address *
Contact Shipping Address  
   
City     State   Zip Code 
Telephone Number *
Fax Number  


Product Usage Information
Please select the functionality below that you currently use in the application(s):
(Select as many as apply)

CareRadius
    Utilization Mgt     Case Mgt     Disease Mgt     Appeals     OB Information
    External Membership     External Providers     External Data Views

CareAffiliate
    Authorizations     Specialty Referrals     Status Inquiry     Inpatient Notification     Surveys
    CM/DM Enrollment Request     Clinical Assessments     Attachments     Web Notifications

CareFind
    ID & Stratification

maxMC
    Care Coordination     Care Plans     CM Enrollment     OB Information
    Appeals     Surveys

e-maxMC
    Auth Submission     Referrals     Status Inquiries     Inpatient Notification     Surveys
    CM/DM Enrollment Request     Clinical Assessments     Attachments     Secure Messaging

Maxsys II
  Case Management
       Patient Reviews     Levels of Care Assessments     Discharge Planning
       Utilization Issues     Care Authorizations

  Risk Management
       Incident Management     Incident Report Form Advanced     Claims Management
       Workers Comp/Employee Injury/Illness     QM/RM Linkage

  Quality Management
       Monitoring & Evaluation     Issue Management     Secondary Reviews
       QM/RM Linkage

  Credentialing Center
       Credentialing Windows

  Infection Control
       Patient Infections     Staff Immunizations


3rd-Party Components
  Do you use 3rd-party clinical criteria or data?
      CareEnhance® Review Manager
      Milliman® CareWebQI™
      HealthWise KnowledgeBase™
      InterQual® Coordinated Care Content
      3M™ Coding & Reimbursement System
      Other (Please specify)

  Do you use a Predictive Modeling solution?
      Ingenix® ImpactPro™
      Ingenix® Symmetry™
      MEDai™
      Other (Please specify)

  Do you use a 3rd-party Report Writer?
      SAP® Crystal Reports™
      SAP® Business Objects™
      IBM® Cognos Business Intelligence™
      Oracle® Reports
      HP ExStream™
      Other (Please specify)

  What is your desktop operating system?
      Windows® XP™
      Windows® Vista™
      Windows® 7™
      Other (Please specify)


EXL Landa Client Community Login Information
Requested User ID * (at least 5 characters)
Requested Password * (at least 5 characters, including one numeric digit)
Verify Requested Password *



3M is a registered trademark or trademark of 3M Company.
InterQual®, InterQual AutoBook®, AutoCoder® and CareEnhance® are registered trademarks of McKesson Corporation or one of its subsidiaries.
Milliman, Milliman Care Guidelines, and CareGuide QI are trademarks or registered trademarks of Milliman, Inc.
Healthwise is a trademark of Healthwise, Incorporated.
Oracle is a registered trademark of Oracle Corporation and/or its affiliates.
IBM, Cognos, Tivoli and WebSphere are trademarks or registered trademarks of International Business Machines Corporation in the United States or other countries or both.
Crystal Reports, Crystal Decisions, and other Business Objects products and services mentioned herein as well as their respective logos are trademarks or registered trademarks of SAP AG in Germany and in several other countries.
Microsoft, MS-DOS, Windows, Windows NT, Windows Server, Active Directory, .NET, Win32, Windows Mobile, and Microsoft Windows Server 2008 Internet Information Services (IIS) are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.
All other company or product names mentioned may be trademarks or registered trademarks of their respective owners.