AdjudicatorCervey
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ClaimAdeptIsoft
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Related Products
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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.
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ClaimAdept:
About
This product is an end to end claims system. The primary functions are claims adjudication, claim workflow and payment disbursement. The flexible design allows the addition of adjudication modules on a line of business basis. Each new line of business added reuses the core functionality of the system. This system takes advantage of the user friendly windows screen design and makes use of a relational database to store information within the system. The software platform is Powerbuilder with an SQL database such as Oracle or Sybase. This combination of software supports a client server based environment that is capable of processing large volumes of claims. Installation and training are available and source code is included as part of the licence fee. Expert staff is available for customizations and tailoring of the system to meet any special requirements identified by the client. All modifications are available with detail design and support for acceptance testing.
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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
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ClaimAdept:
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
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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
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ClaimAdept:
Audience
Businesses interested in a client server based claims adjudication and payment system for claim workflow and payment disbursement
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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ClaimAdept:
Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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Adjudicator:
API
Offers API
Supported
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ClaimAdept:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
ClaimAdept:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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ClaimAdept:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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ClaimAdept:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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ClaimAdept:
Training
Documentation
Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Adjudicator:
Company InformationCervey
Founded: 1978
United States
cervey.com
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ClaimAdept:
Company InformationIsoft
Founded: 1985
Canada
pages.interlog.com/~paustin/products.htm
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Adjudicator:
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Categories |
ClaimAdept:
Categories |
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Adjudicator:
Integrations
Azure SQL Database
Not Supported
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