Adjudicator
Cervey’s Adjudicator solution is an all encompassing plan management and claims adjudication platform designed for you, with you.
Plan Management Made Simple | We will provide a solution as unique as the needs of your clients.
Benefits
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Advantages
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Clients
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Customization
- Access claims in real time, with no need for costly software or licensing, using our secure, reliable systems.
- Specify your unique parameters for formularies, prescription pricing, rebates, in-network pharmacies and other facets of a well-managed benefits plan.
- Build and manage formularies, in both standard and custom formats.
- Create customized pricing based on NADAC, AWP, WAC, MAC, ACQ and other methodologies that you can modify according to your business model.
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SAAS Web-Based Technology
- 100% HIPAA compliant
- Advanced security that exceeds healthcare and privacy regulations
- SOC2, ISO27k, SOX, and PCI-compliant data centers
- API Integration
- Rules-based engine
- Service-oriented architecture
- Private cloud infrastructure
- Agile software built for existing and future industry needs
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Customer Focused
- Pharmacy Benefit Manager (PBM) Administrators
- Third-Party Administration (TPA) Services
- Retail Chain Pharmacies
- 340B Covered Entities & Contract Pharmacies
- Self-Funded Employer Services
- Hospital & Health System Services
- Cash & Discount Card Services
- Pharmaceutical Manufacturers
- Long-Term Care Services
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