Adjudicator

Adjudicator

Cervey
Adjudicator ClaimAdept

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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.
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.
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
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
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
ClaimAdept:

Audience

Businesses interested in a client server based claims adjudication and payment system for claim workflow and payment disbursement
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
ClaimAdept:

Support

Phone Support Not Supported
24/7 Live Support Not Supported
Online Supported
Adjudicator:

API

Offers API Supported
ClaimAdept:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

ClaimAdept:

Screenshots and Videos

Adjudicator:

Pricing

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

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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Review this Software
ClaimAdept:

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
ClaimAdept:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
ClaimAdept:

Company Information

Isoft
Founded: 1985
Canada
pages.interlog.com/~paustin/products.htm
Adjudicator:

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Categories

ClaimAdept:

Categories

Claims Processing Supported
Adjudicator:

Integrations

Azure SQL Database Not Supported
ClaimAdept:

Integrations

Azure SQL Database Supported
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
ClaimAdept:
Claim ClaimAdept and update features and information
Claim ClaimAdept and update features and information