Emdeon CardFinder™

Emdeon CardFinder is Emdeon's industry-leading, real-time pharmacy benefit eligibility service. With Emdeon CardFinder, a single transaction returns commercial coverage for more than 220 million covered lives, as well as Medicare coverage information for patients 65 years of age or older.

Emdeon CardFinder enables pharmacies to automate the task of determining patient eligibility and coverage, providing time savings and an enhanced level of service to patients.

Features

• Emdeon, in partnership with Surescripts-RxHub, checks member eligibility with the nation's largest pharmacy benefit managers (PBMs). Emdeon CardFinder also checks for Medicare eligibility.
• For pharmacies with pharmacy management software systems that are certified for Emdeon CardFinder, eligibility requests may be sent via their existing pharmacy system.
• For pharmacy management software systems that are not yet certified for Emdeon CardFinder, benefit eligibility inquiries may be made via an intuitive web utility that is conveniently accessed through the Emdeon pharmacy customer website. The Emdeon CardFinder web utility accommodates Medicare Part D, Medicare A/B and commercial coverages.
• Emdeon CardFinder's automatic post-edit feature may be enabled to automatically send eligibility inquiries for third-party rejects due to non-coverage. This feature also works within Emdeon's electronic prescribing service, eRx Network, to further improve your pharmacy's workflow by performing automatic, real-time eligibility inquiries for new prescriptions.
• Both Emdeon CardFinder service utility options use the same transaction type and format as the TrOOP Medicare Eligibility transactions. Pharmacies that use Emdeon CardFinder are required to send the following patient information: first and last name, date of birth, gender, zip code and social security (at least the last four digits).
• A real-time response from Emdeon CardFinder returns to the pharmacy any information that is provided by the PBM. This information may include: BIN, PCN, cardholder ID, group number, person code and processor helpdesk phone number.
• Emdeon CardFinder returns all provided cardholder information for all coverages found (i.e. primary, secondary and tertiary).