SelectRx Add-ons
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- SelectRx Insight
- Network Administration
- Rebate Management
- Customer Service Call Centers
Prescription Benefit Administration
Emdeon provides the systems infrastructure as well the administrative support necessary to allow payers to effectively manage their prescription benefit program in-house. Emdeon's award-winning and flexible claims processing system supports complex benefit designs, multiple networks and client-owned contracts.
Want to improve your claim processing efficiencies and better control prescription drug costs? Contact us to learn how Emdeon PBA solutions can provide the flexibility and transparency you need.
Contact UsJust tell us what you need. Emdeon can tailor our services to provide as much assistance as your organization needs:
- Our core service is pharmacy claims adjudication and data reporting
- We can provide transparent call center support for member and pharmacy calls
- We encourage and assist our clients in negotiating their own Retail Pharmacy Networks and maintain a MAC list while we handle the network administration
- We encourage our clients to hold their own Drug Manufacturer Rebate Contracts while providing them with additional clinical support and a drug manufacturer contract management tool to reconcile rebates with the manufacturers.
Pharmacy Claims Adjudication: The state-of-the-art SelectRx system offers a cost-effective alternative for the task of operating and maintaining an in-house pharmacy claims adjudication system. It includes Emdeon SelectRx Insight ad-hoc reporting.
Add-On Products
SelectRx Insight provides a clear window into the clinical and financial information pharmacy benefit managers must use on a daily basis.
Provides a secure, web-based manufacturer rebate management system with exceptional decision support capabilities that calculates, invoices and reconciles rebates electronically for all manufacturers.
Fully supports client-negotiated retail pharmacy network contracts but also maintains our own nationwide network of participating NCPDP licensed pharmacies.
Tapping nearly 20 years of pharmacy expertise, Emdeon offers health plans exceptional solutions for outsourcing pharmacy and member call support that can save money and provide transparent staff extensions.
Payer News: Emdeon Connection
The Emdeon Connection eNewsletter provides information to our government and commercial payer audience.
Emdeon Acquires EquiClaim to Expand its Payment Integrity Solutions Offering
We are excited to announce Emdeon has acquired EquiClaim, a leading provider of post-payment healthcare claims audit and recovery services for commercial and government payers, from MultiPlan.
Pre-Payment Fraud Detection and its Impact on the Bottom Line: A New Payment Integrity White Paper
The phrase, "An ounce of prevention is worth a pound of cure" aptly applies to a movement within the healthcare payment industry: Fraud, waste and abuse (FWA) prevention.
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