AdjudicatorCervey
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Riskonnect Claims ManagementRiskonnect
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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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Riskonnect Claims Management:
About
Riskonnect Claims Management Software is a comprehensive platform designed to streamline and automate the entire claims lifecycle from intake through final settlement. The software centralizes claim data, workflows, and communications into a single system that improves visibility and operational efficiency. Organizations can automate routine tasks, reduce manual work, and accelerate claims resolution with configurable workflows and intelligent claims processing tools. The platform supports features such as electronic injury reporting, reserve management, adjudication, subrogation, recovery tracking, and return-to-work management. Riskonnect also integrates predictive analytics, machine learning, and AI capabilities to help claims professionals identify risks, forecast claim outcomes, and improve decision-making. Real-time collaboration tools allow adjusters, stakeholders, and third parties to work together more effectively while maintaining compliance with industry regulations.
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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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Riskonnect Claims Management:
Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Supported
iPad
Supported
Android
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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Riskonnect Claims Management:
Audience
Riskonnect Claims Management Software is designed for insurance companies, third-party administrators, risk managers, healthcare organizations, and enterprises seeking to automate and improve complex claims management operations
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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Riskonnect Claims Management:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Supported
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Adjudicator:
API
Offers API
Supported
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Riskonnect Claims Management:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
Riskonnect Claims Management:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Riskonnect Claims Management:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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Riskonnect Claims Management:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Riskonnect Claims Management:
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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Riskonnect Claims Management:
Company InformationRiskonnect
Founded: 2007
United States
riskonnect.com/claims-management-software/
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Adjudicator:
Alternatives |
Riskonnect Claims Management:
Alternatives |
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Adjudicator:
Categories |
Riskonnect Claims Management:
Categories |
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Adjudicator:
Integrations
Rayven
Not Supported
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Riskonnect Claims Management: | |||||
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Riskonnect Claims Management:
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