Advisory services for copay program design
New product launch analysis and impact on GTN
Brand support: Website design and development
Pharmacy and medical claim processing
Member services: Enrollment processing and support
Real-time program changes on demand
Accumulator/Maximizer/AFP mitigation strategy
Pharmacy under-reimbursement solutions
National and preferred provider network management
Patient engagement platform for enrollment and adherence
Real-time data: Dashboards, analytics, reporting
Reimbursement channels for all sites of care
Our payer financial solutions achieve a true balance of value for all stakeholders, empowering patients with greater access to therapy
Our agile policies address the changing landscape of patient access and remove potential barriers, reinforcing trust and confidence in your brand
We use direct and omnichannel strategies to create an effective and seamless patient journey that improves clinical outcomes and program efficiency
Our proprietary claims processing technology captures data from all stakeholders, offering early access to cross-channel information and delivering value-based care
We provide access to your program with the ability to make real-time changes on-demand, the power to address cost efficiency, expedited delivery of care, and patient-provider support
We connect with all sites of care and cover all payment resources accepted by prescribers, drug service providers, and patients
Reimbursement channels for all sites of care
Pharmacy and medical claims processing
National and preferred provider network connectivity
Real-time access to robust data: Reporting, dashboards, analytics
Obstacle mitigation: Proactive subversion of market access barriers
Help desk support: Providers, prescribers, and patients
Real-time program changes on demand
We systematically control and examine all claim activity with a suite of program integrity services
FWA (fraud, waste, and abuse)
Government exclusion
Auditing