AdjudicatorCervey
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FBCS EnterpriseDSS
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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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FBCS Enterprise:
About
FBCS Enterprise is a centralized system for guiding decisions about non-VA Purchased care to improve fee basis claims management and adjudication through efficient claims processing. A web-based solution, CTM Plus streamlines workflows and provides oversight to resolve consult and Return to Clinic (RTC) tracking pain points, and ensure patients are called and scheduled on time. Purchasing analytics help to reduce cost and waste, for greater overall accountability. Expired and recalled items are also monitored automatically to keep patients safer. Delayed or misplaced orders can have significant consequences for your bottom line and quality of care. Time spent sorting through paper records and scrolling through screens is time you won’t have for patients. Checking every patient for opioid prescriptions can be an exhausting, multi-step process. DSS PDMP streamlines everything into one simple step.
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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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FBCS Enterprise:
Platforms Supported
Windows
Supported
Mac
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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FBCS Enterprise:
Audience
Insurance in need of a tool to improve fee basis claims management and adjudication
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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FBCS Enterprise:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Supported
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Adjudicator:
API
Offers API
Supported
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FBCS Enterprise:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
FBCS Enterprise:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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FBCS Enterprise:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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FBCS Enterprise:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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FBCS Enterprise:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Adjudicator:
Company InformationCervey
Founded: 1978
United States
cervey.com
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FBCS Enterprise:
Company InformationDSS
Founded: 1991
United States
www.dssinc.com/federal-health
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Adjudicator:
Alternatives |
FBCS Enterprise:
Alternatives |
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Adjudicator:
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FBCS Enterprise:
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FBCS Enterprise:
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Adjudicator:
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FBCS Enterprise:
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Adjudicator:
Categories |
FBCS Enterprise:
Categories |
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FBCS Enterprise:
Claims Processing Features
Adjustor Management
Not Supported
Case Management
Supported
Claim Resolution Tracking
Supported
Co-Pay & Deductible Tracking
Not Supported
Compliance Management
Not Supported
Customer Management
Supported
Electronic Claims
Not Supported
Forms Management
Not Supported
Paper-Based Claims
Not Supported
Payor Management
Not Supported
Policy Administration
Not Supported
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Adjudicator:
Integrations
No info available.
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FBCS Enterprise:
Integrations
No info available.
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Adjudicator:
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FBCS Enterprise:
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