Creating Healthcare Technology Solutions

PBM Services

We help Benefit Administrators deliver more efficient, effective and affordable care to their plans.

We work with PBMs to streamline their operations, integrate seemlessly with 3rd party systems for claims processing, benefits verification, prior authorizations, formulary management, and more. We can analyze your large and growing amount of data to provide automated, custom reports and analytics in the exact format you need. Our industry knowledge helps with many of the challenges facing PBMs in a rapidly changing healthcare landscape, all while providing a better quality of care and cutting the healthcare cost curve.

  • ePA Solutions
  • Claims Processing Integration
  • Benefits Verification Integration
  • Drug Card Verification Integration
  • Drug Database Conversions (FDB, Medispan, Gold Standard, RxNorm)
  • Member Portals and Mobility
  • ACA Marketplace and State Exchange Subsidy Calculator
  • Claim Analytics and Reporting
  • Formulary Review and Management
  • Electronic Prescribing eRx
  • Utilization Management
  • ICD-10 Transition
  • Pharmacy Claims Audit Support
  • eFax and SMS Integation
  • Custom HL7 Solutions
  • Data Life Cycle Management