AdjudicatorCervey
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PlanXpandAcero Health Technologies
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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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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.
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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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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
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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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PlanXpand:
Audience
Companies searching for a solution to offer products that their customers value
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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PlanXpand:
Support
Phone Support
Not Supported
24/7 Live Support
Supported
Online
Not Supported
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Adjudicator:
API
Offers API
Supported
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PlanXpand:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
PlanXpand:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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PlanXpand:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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PlanXpand:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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PlanXpand:
Training
Documentation
Not Supported
Webinars
Supported
Live Online
Not Supported
In Person
Not Supported
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Adjudicator:
Company InformationCervey
Founded: 1978
United States
cervey.com
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PlanXpand:
Company InformationAcero Health Technologies
United States
acerohealth.com
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Adjudicator:
Alternatives |
PlanXpand:
Alternatives |
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PlanXpand:
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Adjudicator:
Categories |
PlanXpand:
Categories |
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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
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Adjudicator:
Integrations
No info available.
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PlanXpand:
Integrations
No info available.
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Adjudicator:
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PlanXpand:
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