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

About Adjudicator

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.

Integrations

API:
Yes, Adjudicator offers API access
No integrations listed.

Ratings/Reviews

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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Company Information

Cervey
Founded: 1978
United States
cervey.com

Videos and Screen Captures

Adjudicator dashboard shown on a laptop, with import totals, status indicators, date filters, and a processing table.

Adjudicator dashboard shown on a laptop, with import totals, status indicators, date filters, and a processing table.

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Product Details

Platforms Supported
Cloud
Training
Documentation
Live Online
Webinars
In Person
Videos
Support
Phone Support
24/7 Live Support

Adjudicator Frequently Asked Questions

Q: What kinds of users and organization types does Adjudicator work with?
Adjudicator works with these users and organization types: Mid Size Business, Small Business, Enterprise, Freelance, Nonprofit, Government, and Startup.
Q: What languages does Adjudicator support in their product?
Adjudicator supports these languages: English.
Q: What kind of support options does Adjudicator offer?
Adjudicator offers support via phone support and 24/7 live support.
Q: Does Adjudicator have an API?
Yes, Adjudicator has an API.
Q: What type of training does Adjudicator provide?
Adjudicator provides training in the form of documentation, live online, webinars, in person, and videos.

Adjudicator Product Features

Claims Processing

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