Adjudicator

Adjudicator

Cervey
Adjudicator SSI Claims Director

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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.
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.
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
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
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
SSI Claims Director:

Audience

Healthcare systems
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
SSI Claims Director:

Support

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

API

Offers API Supported
SSI Claims Director:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

SSI Claims Director:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
SSI Claims Director:

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

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SSI Claims Director:

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
SSI Claims Director:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
SSI Claims Director:

Company Information

SSI Group
Founded: 1986
United States
thessigroup.com/claims-management/
Adjudicator:

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Categories

SSI Claims Director:

Categories

Adjudicator:

Integrations

No info available.
SSI Claims Director:

Integrations

No info available.
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
SSI Claims Director:
Claim SSI Claims Director and update features and information
Claim SSI Claims Director and update features and information