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.
Apply proven, real-time pre- and post-submission edits as prescription claims are routed to and received from third-party payers.
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.
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.