Adjudicator

Adjudicator

Cervey
ImagineMedMC

ImagineMedMC

Imagine Software
Adjudicator ImagineMedMC

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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.
ImagineMedMC:

About

Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry.
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
ImagineMedMC:

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
ImagineMedMC:

Audience

Healthcare providers interested in a solution to manage members' healthcare and networks with a cloud-based healthcare delivery system
Adjudicator:

Support

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

Support

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

API

Offers API Supported
ImagineMedMC:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

ImagineMedMC:

Screenshots and Videos

Adjudicator:

Pricing

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

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
ImagineMedMC:

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
ImagineMedMC:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
ImagineMedMC:

Company Information

Imagine Software
Founded: 2000
United States
www.imagineteam.com
Adjudicator:

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Adjudicator:

Categories

ImagineMedMC:

Categories

ImagineMedMC:

Medical Billing Features

Claims Processing Not Supported
Claims Scrubbing Not Supported
Code & Charge Entry Supported
Compliance Tracking Supported
Customizable Dashboard Supported
Dunning Management Supported
Invoice History Supported
Patient Eligibility Checks Supported
Practice Management Supported
Quotes/Estimates Supported
Remittance Advice Supported
Adjudicator:

Integrations

No info available.
ImagineMedMC:

Integrations

No info available.
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
ImagineMedMC:
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Claim ImagineMedMC and update features and information