Adjudicator

Adjudicator

Cervey
SpyGlass

SpyGlass

Beacon Technologies
Adjudicator SpyGlass

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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.
SpyGlass:

About

SpyGlass, our enterprise-class health claims management software, offers a powerful, flexible solution for precise and timely claims processing. SpyGlass makes benefit and plan setup remarkably straightforward. BenefitDriven, fully-integrated with SpyGlass, delivers eligibility, contribution accounting, and pension management to the Taft-Hartley industry with the full range of data and processes for Participants and Employers. HIPAA Director, our all-in-one EDI gateway & scheduler, works as a hub by allowing you to directly connect with vendor partners to help avoid transaction costs, manage batch transfers, and automate transfers. SpyGlass provides a deep, landscape view of your population, with the ability to easily drill down to the higher resolution details. Hundreds of unique reports, fully customizable dashboards, and total control over your system are at your fingertips.
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
SpyGlass:

Platforms Supported

Windows 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
SpyGlass:

Audience

Enterprises and companies seeking a solution to manage all their claims, operations and processes
Adjudicator:

Support

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

Support

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

API

Offers API Supported
SpyGlass:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

SpyGlass:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
SpyGlass:

Pricing

No information available.
Free Version Not Supported
Free Trial 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
SpyGlass:

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
SpyGlass:

Training

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

Company Information

Cervey
Founded: 1978
United States
cervey.com
SpyGlass:

Company Information

Beacon Technologies
Founded: 1995
United States
www.beaconspyglass.com
Adjudicator:

Alternatives

Vitamin PBM

Vitamin PBM

Rits Software
SpyGlass:

Alternatives

GuinRank

GuinRank

5.0 out of 5 stars
Adjudicator:
HEALTHsuite

HEALTHsuite

RAM Technologies
SpyGlass:
Adjudicator:
PlanXpand

PlanXpand

Acero Health Technologies
SpyGlass:
HEALTHsuite

HEALTHsuite

RAM Technologies
Adjudicator:
Complete Claims

Complete Claims

Complete Health Systems
SpyGlass:
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
Adjudicator:
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
SpyGlass:
Adjudicator:

Categories

SpyGlass:

Categories

SpyGlass:

Claims Processing Features

Adjustor Management Supported
Case Management Not Supported
Claim Resolution Tracking Not Supported
Co-Pay & Deductible Tracking Supported
Compliance Management Not Supported
Customer Management Not Supported
Electronic Claims Not Supported
Forms Management Not Supported
Paper-Based Claims Supported
Payor Management Supported
Policy Administration Not Supported
Adjudicator:

Integrations

Catapult Spyglass Not Supported
EndoManager Imaging Not Supported
GuinRank Not Supported
SpyGlass:

Integrations

Catapult Spyglass Supported
EndoManager Imaging Supported
GuinRank Supported
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
SpyGlass:
Claim SpyGlass and update features and information
Claim SpyGlass and update features and information