Adjudicator

Adjudicator

Cervey
Adjudicator FBCS Enterprise

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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.
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.
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
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
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
FBCS Enterprise:

Audience

Insurance in need of a tool to improve fee basis claims management and adjudication
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
FBCS Enterprise:

Support

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

API

Offers API Supported
FBCS Enterprise:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

FBCS Enterprise:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
FBCS Enterprise:

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

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

Review this Software
FBCS Enterprise:

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
FBCS Enterprise:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
Adjudicator:

Company Information

Cervey
Founded: 1978
United States
cervey.com
FBCS Enterprise:

Company Information

DSS
Founded: 1991
United States
www.dssinc.com/federal-health
Adjudicator:

Alternatives

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FBCS Enterprise:

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FBCS Enterprise:
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Complete Health Systems
Adjudicator:
Complete Claims

Complete Claims

Complete Health Systems
FBCS Enterprise:
Adjudicator:
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
FBCS Enterprise:
Adjudicator:

Categories

FBCS Enterprise:

Categories

Claims Processing Supported
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
Adjudicator:

Integrations

No info available.
FBCS Enterprise:

Integrations

No info available.
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
FBCS Enterprise:
Claim FBCS Enterprise and update features and information
Claim FBCS Enterprise and update features and information