SYSTEM TOOLS &
COMPREHENSIVE
REPORTING
.
System Access Tools
ProCare Rx provides clients with eProCare, an intuitive and user-friendly system administration tool. eProCare allows users, through secure login and via data encrypted protocols, real-time access to plan set-up and eligibility rules.
eProCare supports virtually every type of pharmacy benefit program and pharmacy delivery mechanism that has been introduced in the marketplace today. It supports all commercial benefit programs, plus government programs (including Fee-for-Service Medicaid, Managed Medicaid, and Medicare Part D), Long-term Care, Hospice, and Worker’s Compensation.
The flexibility of the rules-based system allows clients to develop unique programs and benefit designs specifically tailored to their needs. Users can view patient profiles, have the ability to issue one-time and long-term prior authorizations, quantity limits, and exclusions, as well as add, edit and term members, and modify the benefit plan design in minutes.
eProCare is continually updated with regard to industry standards. Compliance, technology, and functionality are continually updated and enhanced to remain compliant with all CMS, HIPAA, and other regulatory or industry requirements.
COMPREHENSIVE
REPORTING &
ANALYTICS
ProCare Rx systems are extremely flexible in extracting any data, grouping, categories, etc. from our clients’ data warehouse. Standard reports include a wide variety of utilization, financial, rebate, and system performance reports. Clients can either request a customized report that turns into a standard weekly, monthly, or quarterly report, or extract the information themselves using our online reporting tools.
eReports, a cloud-based portal, can be used for real-time claims queries right from your desktop or laptop. The portal contains a library of useful list reports that clients can generate at their convenience, which includes near real-time claims data down to the member level
The power of ProCare Rx is in our client support tool, Zero-!n. Zero-!n is a web-based analytical tool that allows you to identify cost trends and create targeted action plans to manage these trends. It allows clients to measure and monitor the effectiveness of our benefit designs, utilization management edits, formulary tier placement, and utilization patterns.