Adjudicator

Adjudicator

Cervey
Newgen Claims Processing

Newgen Claims Processing

Newgen Software
Adjudicator Newgen Claims Processing

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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.
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.
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
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
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
Newgen Claims Processing:

Audience

Companies searching for a solution to manage and improve their operations
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
Newgen Claims Processing:

Support

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

API

Offers API Supported
Newgen Claims Processing:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

Newgen Claims Processing:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
Newgen Claims Processing:

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
Newgen Claims Processing:

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
Newgen Claims Processing:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
Newgen Claims Processing:

Company Information

Newgen Software
Founded: 1992
India
newgensoft.com/solutions/industries/insurance/claims-processing/
Adjudicator:

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Adjudicator:

Categories

Newgen Claims Processing:

Categories

Claims Processing Supported
Adjudicator:

Integrations

No info available.
Newgen Claims Processing:

Integrations

No info available.
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
Newgen Claims Processing:
Claim Newgen Claims Processing and update features and information
Claim Newgen Claims Processing and update features and information