A Prescription Benefit Solutions with Real-Time Pharmacy Claims Adjudication at more than 62,000 Pharmacies Nationwide.
...Providing web-enabled applications, clinical expertise and services to manage pharmacy network administration, claims processing, and financial reporting.
The HealthPoint Network™ provides reliable and cost effective claims adjudication at the point of service, on-line and in real-time. Our technology is extremely flexible, allowing instantaneous plan design, update, and customization. We can easily model and modify plans to meet our clients changing needs.
Key Features:
- Plan analysis, design and implementation - allowing clients as much or as little control over the process as desired. Our seasoned team ensures seamless implementation and a timely launch. Options include; Customized Benefit Structures, Multi-tier Co-pay Structures, Automated Therapeutic Protocols, Brand Interchanges, Multi-domain rules, and Deductible and Benefit Carry over.
- Pharmacy Claims Management Services - to ensure accurate, reliable, and real time processing and support, including; Multi-tiered Plan Options, Multi-domain Rules, Member Enrollment and Identification, Co-pay Determination, Claims Adjudication, Min/max Dosing Guidelines, Customized Messaging to Pharmacy Providers, Rules-based Table Driven Functionality, and ID Card Production.
- 24/7 adjudication and maintenance availability, 365 days a year, with a 24/7 state-of-the-art Pharmacy Help Desk and Member Help Desk.
- Robust Reporting Services – with standard and customizable reporting packages.
- Pharmacy Network Services - 62,000 Pharmacies including all major chains. We also offer established discount, preferred, local, and custom pharmacy networks.
Key Benefits:
- Real-Time Claims Adjudication Combined with Real-Time Financial Processing, resulting in streamlined, seamless and intuitive payment programs.
- Consolidation of program support requirements, improved decision support capabilities, lower cost, and reduced administrative overhead.
- Contact us for a complimentary review. 3Pea can create specialized programs that will meet your specific requirements and exceed your expectations.
