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Smart PBA

ADJUDICATE CLAIMS IN REAL TIME & MANAGE THE PROCESS
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Gain control over your pharmacy benefit programs.

Smart PBA provides an intelligent platform for effective pharmacy claims adjudication and management. Our proprietary systems are rich in features, highly configurable, and support client-customized programs. Client types supported include: PBMs, TPAs, Discount Rx, Workers Compensation, and Pharmaceutical Manufacturer Programs. Additional administrative services available include Pharmacy Network, Payment Administration, Pharmacy Call Center Support, Plan Setup, Data Warehouse, and Formulary Rebates. Transactions for your pharmacies are adjudicated in real time according to your benefit plan design. The Windows-based, easy-to-use system fits any benefit plan design and easily adapts to changing needs. A customizable interface adapts to your workflows and staff needs. Additional support is available for customer service call centers, network administration, and rebate management.

  • Adjudicate claims effectively

    Our Prescription Benefit Administration systems support complex programs through our highly configurable and secure platforms. Consistent and efficient evaluation of strategies and plan performance drives cost measurement and containment. We are continuously responsive to developing market innovations for our clients.

  • Receive administrative support

    Change Healthcare’s Smart PBA meets the unique needs of each our clients, offering flexibility and transparency. Comprehensive reporting helps manage the clinical and financial decisions critical to your business and your clients' needs.

  • Leverage our experience

    Change Healthcare has been supporting the successful growth of our PBA client since 1987 by improving claims processing efficiency and client satisfaction.