Business Process Outsourcing

ProCare Rx developed and operates its own real-time adjudication system that has been processing pharmacy claims for over 30 years. We have acted as the silent, behind the scenes partner for some of the most well-known PBMs and healthcare companies. Through decades of experience, we have helped payers become their own PBM using our systems and resources.

 

By owning our own integrated adjudication system, you, as our business partner, profit from the savings, and your customized prescription benefit plan will be processed through a single innovative, real-time claims system that will fit virtually any benefit design needs: from the simplest to the most complicated.

 

If you are looking for a specific component of a PBM, pharmacy, and/or reimbursement hub service, please review the following list of business process outsourcing (BPO) components we currently offer:

  • Rebates
  • Data management
  • Reporting
  • Pharmacy switching services
  • Call center
  • Pharmacy network management
  • Population health
  • Medication management
  • Medication delivery
  • Patient assistance program management
  • 340B eligibility and program administration
  • Workers compensation eligibility and program administration

 

Speak to a representative for more information: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

If you are looking for full service PBM, pharmacy, or reimbursement hub services, please go to the applicable ProCare Rx website / page for additional information.

Featured Items

URAC Certification URAC Certification
PHARMACY BENEFIT MANAGEMENT
EXPIRES 01/01/2021
PBM Services Provided by ProCare PBM
MAIL SERVICE PHARMACY
EXPIRES 04/01/2021
Mail Order Provided by ProCare PharmacyCare