Adjudicator

Adjudicator

Cervey
PlanXpand

PlanXpand

Acero Health Technologies
Adjudicator PlanXpand

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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.
PlanXpand:

About

PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments.
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
PlanXpand:

Platforms Supported

Windows 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
PlanXpand:

Audience

Companies searching for a solution to offer products that their customers value
Adjudicator:

Support

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

Support

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

API

Offers API Supported
PlanXpand:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

PlanXpand:

Screenshots and Videos

Adjudicator:

Pricing

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

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
PlanXpand:

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
PlanXpand:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
PlanXpand:

Company Information

Acero Health Technologies
United States
acerohealth.com
Adjudicator:

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Adjudicator:

Categories

PlanXpand:

Categories

PlanXpand:

Claims Processing Features

Adjustor Management Not Supported
Case Management Not Supported
Claim Resolution Tracking Not Supported
Co-Pay & Deductible Tracking Not Supported
Compliance Management Not Supported
Customer Management Not Supported
Electronic Claims Not Supported
Forms Management Not Supported
Paper-Based Claims Not Supported
Payor Management Not Supported
Policy Administration Not Supported

Medical Billing Features

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

Integrations

No info available.
PlanXpand:

Integrations

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