AdjudicatorCervey
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Newgen Claims ProcessingNewgen Software
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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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Newgen Claims Processing:
About
Newgen’s Insurance Claims Automation & Management software, built on AI-first low-code platform, streamlines the full claims lifecycle, from first notice of loss to final settlement, through automated workflows, smart routing, and integrated document management. Customers can register and track claims through a web or mobile self-service portal, while the system automatically retrieves policy details, prevents duplicate entries, and routes cases based on workload and expertise. Built-in rules classify claims as fast-track or non–fast track, with flexibility to add assessors, investigators, and other stakeholders. Adjusters gain a unified view for registration, adjudication, document review, and communication. AI-driven insights support fraud detection, highlight missing information, and improve decision accuracy. Real-time dashboards monitor KPIs, SLAs, and escalations for transparent and timely processing.
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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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Newgen Claims Processing:
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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Newgen Claims Processing:
Audience
Companies searching for a solution to manage and improve their operations
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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Newgen Claims Processing:
Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Not Supported
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Adjudicator:
API
Offers API
Supported
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Newgen Claims Processing:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
Newgen Claims Processing:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Newgen Claims Processing:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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Newgen Claims Processing:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Newgen Claims Processing:
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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Newgen Claims Processing:
Company InformationNewgen Software
Founded: 1992
India
newgensoft.com/solutions/industries/insurance/claims-processing/
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Adjudicator:
Alternatives |
Newgen Claims Processing:
Alternatives |
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Adjudicator:
Categories |
Newgen Claims Processing:
Categories |
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Adjudicator:
Integrations
No info available.
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Newgen Claims Processing:
Integrations
No info available.
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Adjudicator:
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Newgen Claims Processing:
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