Proven Pharmacy Claim Processing Solutions

Our 4th-generation pharmacy benefit platform is a secure, HIPAA-compliant, hybrid-cloud-based system that incorporates our real-time prescription drug claims processing system. This time-tested, highly configurable, highly scalable system delivers customized formularies and real-time technology.

Master Suite capabilities include:

• Time-tested, independently owned, expert system
• Hybrid-cloud based
• Highly configurable benefit design setup and administration
• Web-based administrative tools and member portal
• Mobile and web-based patient engagement programs
• Rebate aggregation systems and services
• 340B program administration enhancers/enablers
• Worker’s Compensation claim processing
• API-driven connectivity to supporting systems and portals

Insight and Analytics

• Clinical Savings and Advisory Programs
• Medical, lab, and pharmacy data integration, and predictive modeling
• Population health analytics
• Best-in-class analytical reports and data warehouse
• Zero-!n analytics tool to identify key trends