Pharmacy Network Solutions
Claims-management tools that help pharmacies expedite claims editing, submission, and adjudication; improve claims accuracy, confirm patient-coverage eligibility, and ID copay-assistance opportunities.
To enhance claims management and shorten payment cycles, pharmacies must seamlessly validate patient eligibility, submit accurate claims, and identify alternative copay sources.
Access a secure, high-speed, intelligent network built to operate with existing workflows to expedite claims submission to any third-party processor.
A claims-switch adjudication network that allows pharmacies to send claims to any U.S. third-party processor while working in existing pharmacy workflows.
Apply proven, real-time pre- and post-submission edits as prescription claims are routed to and received from third-party payers.
A comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity.
Check member eligibility in using existing pharmacy workflows. Obtain coverage information for more than 270 million individuals, and improve workflow with automatic inquiries for new prescriptions.
A pharmacy eligibility service that checks member coverage with the nation’s largest pharmacy benefit managers (PBMs) and returns real-time responses.
Help deliver prescription savings to patients with an easy-to-use, specialized, voucher-on-demand service to improve satisfaction and medication adherence.
A dynamic copay assistance and messaging platform delivering prescription savings and educational messaging to patients at the point of service, driving increased brand loyalty and medication adherence.