Adjudicator

Adjudicator

Cervey
Adjudicator Assurance Reimbursement Management

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Adjudicator:

About

Adjudicator is a plan management and prescription claims adjudication platform for pharmacy benefit managers, health plans, hospitals and health systems, pharmacy programs, managed care organizations, manufacturers, and retail pharmacies. It supports configurable plan designs and benefit structures, multi-tenant environments, pharmacy network configurations, and management of drugs, formularies, and maximum allowable cost (MAC) pricing. Its member portal provides real-time benefit-status and pending-claim tracking, secure document uploads, and notifications. A prior authorization dashboard provides access to claims data and secure communications. An API framework supports data exchange with internal processes and external business partners. Adjudicator helps organizations manage pharmacy benefits and prescription claims.
Assurance Reimbursement Management:

About

An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims.
Adjudicator:

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported
Assurance Reimbursement Management:

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported
Adjudicator:

Audience

Prescription Benefit Managers (PBMs), Third-Party Administrators (TPAs), Self-Funded Employers, Health Plans, Hospitals & Health Systems, Pharmaceutical Manufacturers, Cash & Discount Card Sponsors, Retail Chain Pharmacies
Assurance Reimbursement Management:

Audience

Healthcare providers in need of an analytics-driven claims and remittance management solution to automate workflows
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
Assurance Reimbursement Management:

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported
Adjudicator:

API

Offers API Supported
Assurance Reimbursement Management:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

Assurance Reimbursement Management:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
Assurance Reimbursement Management:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
Adjudicator:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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Assurance Reimbursement Management:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software
Adjudicator:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
Assurance Reimbursement Management:

Training

Documentation Supported
Webinars Supported
Live Online Not Supported
In Person Supported
Adjudicator:

Company Information

Cervey
Founded: 1978
United States
cervey.com
Assurance Reimbursement Management:

Company Information

Change Healthcare
Founded: 2007
United States
www.changehealthcare.com/solutions/revenue-cycle-management/reimbursement-management/assurance-reimbursement-management
Adjudicator:

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Categories

Assurance Reimbursement Management:

Categories

Adjudicator:

Integrations

Adobe Document Cloud Not Supported
Amazon Web Services (AWS) Not Supported
Experian Aperture Data Studio Not Supported
Hyperledger Fabric Not Supported
Microsoft 365 Not Supported
Assurance Reimbursement Management:

Integrations

Adobe Document Cloud Supported
Amazon Web Services (AWS) Supported
Experian Aperture Data Studio Supported
Hyperledger Fabric Supported
Microsoft 365 Supported
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
Assurance Reimbursement Management:
Claim Assurance Reimbursement Management and update features and information
Claim Assurance Reimbursement Management and update features and information