AdjudicatorCervey
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ClaimScapeDataGenix
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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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ClaimScape:
About
Emerged in the year 2000, DataGenix is strongly resolved to provide TPAs, adjusters, and insurance companies with modern claims processing solutions. We understand that claims processing and health benefits management can include several complications. So that your business does not suffer any losses, our experts have created the advanced ClaimScape software that can automate the entire adjudication process. The goal of our business and the Claims software is to resolve the perplexities that hinder the reach of unmatched customer experience for your clientele network. Keeping in mind the modern trends and requirements, we can assure your business's optimum growth with our software products. We have won the trust of top TPAs of the nation and are willing to serve more.
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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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ClaimScape:
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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ClaimScape:
Audience
Health insurance companies looking for a Benefits Administration solution
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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ClaimScape:
Support
Phone Support
Not Supported
24/7 Live Support
Supported
Online
Not Supported
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Adjudicator:
API
Offers API
Supported
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ClaimScape:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
ClaimScape:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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ClaimScape:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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ClaimScape:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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ClaimScape:
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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ClaimScape:
Company InformationDataGenix
Founded: 2003
United States
datagenix.com
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Adjudicator:
Alternatives |
ClaimScape:
Alternatives |
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Adjudicator:
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ClaimScape:
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Adjudicator:
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ClaimScape:
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Adjudicator:
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ClaimScape:
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Adjudicator:
Categories |
ClaimScape:
Categories |
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ClaimScape:
Claims Processing Features
Adjustor Management
Not Supported
Case Management
Not Supported
Claim Resolution Tracking
Supported
Co-Pay & Deductible Tracking
Supported
Compliance Management
Not Supported
Customer Management
Supported
Electronic Claims
Supported
Forms Management
Supported
Paper-Based Claims
Not Supported
Payor Management
Supported
Policy Administration
Not Supported
Benefits Administration Features
Claims Management
Supported
COBRA Administration
Not Supported
Deduction Management
Not Supported
Disability Insurance Administration
Not Supported
Employee Benefits Administration
Not Supported
Flexible Spending Accounts
Not Supported
FMLA Administration
Not Supported
For Brokers
Not Supported
For Employers
Not Supported
FSA Administration
Not Supported
Health Insurance Administration
Supported
HIPAA Compliant
Not Supported
Life Insurance Administration
Not Supported
Online Benefits Enrollment
Supported
Premium Billing
Not Supported
Provider Management
Supported
Retiree Administration
Not Supported
Retirement Plan Management
Not Supported
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Adjudicator:
Integrations
No info available.
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ClaimScape:
Integrations
No info available.
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Adjudicator:
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ClaimScape:
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