Transaction by transaction review tool for payer and third party administrator's staff that allows them to monitor live transactions and view them as seen by the pharmacist for transactions coming from both PBMLink and directly integrated systems.
- Network communications and announcments
-User Access Managmenet
-Benefit Overview and Adjudication flow
Manage and configure ICD code lists that determine the routing of claims according to the defined benefit structures for the payer or third party administrator. Them module also allows to locate duplicate ICDs found in different benefit routing to minimize adjudication errors and patient inconvincience. The tool also allows for definign the exclusions and regularly updating them with ease.
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