Adjudicator

Adjudicator

Cervey
Adjudicator Riskonnect Claims Management

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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.
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.
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
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
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
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
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
Riskonnect Claims Management:

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported
Adjudicator:

API

Offers API Supported
Riskonnect Claims Management:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

Riskonnect Claims Management:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
Riskonnect Claims Management:

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
Riskonnect Claims Management:

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
Riskonnect Claims Management:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
Riskonnect Claims Management:

Company Information

Riskonnect
Founded: 2007
United States
riskonnect.com/claims-management-software/
Adjudicator:

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Adjudicator:
Hi-Tech Series 3000

Hi-Tech Series 3000

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Riskonnect Claims Management:
Adjudicator:

Categories

Riskonnect Claims Management:

Categories

Adjudicator:

Integrations

Rayven Not Supported
Riskonnect Claims Management:

Integrations

Rayven Supported
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
Riskonnect Claims Management:
Claim Riskonnect Claims Management and update features and information
Claim Riskonnect Claims Management and update features and information