AdjudicatorCervey
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SSI Claims DirectorSSI Group
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| Adjudicator | SSI Claims Director | |||||
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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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SSI Claims Director:
About
Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate.
Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims Director, SSI’s claims management solution, streamlines billing practices and provides visibility by guiding users through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts.
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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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SSI Claims Director:
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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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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SSI Claims Director:
Audience
Healthcare systems
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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SSI Claims Director:
Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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Adjudicator:
API
Offers API
Supported
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SSI Claims Director:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
SSI Claims Director:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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SSI Claims Director:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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SSI Claims Director:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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SSI Claims Director:
Training
Documentation
Supported
Webinars
Not 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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SSI Claims Director:
Company InformationSSI Group
Founded: 1986
United States
thessigroup.com/claims-management/
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Adjudicator:
Alternatives |
SSI Claims Director:
Alternatives |
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Adjudicator:
Categories |
SSI Claims Director:
Categories |
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Adjudicator:
Integrations
No info available.
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SSI Claims Director:
Integrations
No info available.
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Adjudicator:
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SSI Claims Director:
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