RxSERVER®

Developed with the latest in client/server technologies, RxSERVER® functions as a transaction exchange utility module for the real-time collection, control and sharing of primarily prescription claim information, whether in NCPDP or a proprietary format, between disparate systems. The system stores all information including patient history, doctor and drug files, as well as centralized Drug Utilization Review (DUR), and provides real-time interfaces to this combined medical and pharmacy benefits data to determine deductibles, benefit maximums, defined contributions, and medical savings accounts. It also performs real-time pre and post adjudication edits to reduce claim submission errors, as well as a host of standard and user-created reporting features. The product is ideal for pharmacy/supermarket chains, HMOs and outpatient pharmacies that require shared and/or centrally controlled data in a real-time environment.

  • Real-time system conversion from an incumbent claims processing system to RxCLAIM®
  • Real-time COB
  • Patient history inquiries initiated from disparate systems Real-time remote eligibility from the corporate enrollment system Real-time COB
  • Real-time interfaces to combined medical and pharmacy benefits (deductibles, benefit maximums, defined contribution, medical savings accounts)

 To learn more about RxSERVER®, contact us

 

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