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What is Adjudicator?

Adjudicator functions as an innovative platform designed for the administration of plans and the evaluation of prescription claims, catering to a diverse range of entities, including pharmacy benefit managers, hospitals, health systems, managed care organizations, and retail pharmacies. This platform boasts customizable plan configurations and benefit structures, supports multi-tenant environments, and facilitates the oversight of pharmaceutical networks, drug formularies, and maximum allowable cost (MAC) pricing. Users gain access to a member portal that provides real-time information on benefit statuses and the ability to track pending claims, along with options for secure document uploads and timely alerts. Moreover, a prior authorization dashboard offers insights into claims data while fostering secure communication among various stakeholders. An integrated API framework allows for efficient data exchange with both internal systems and external partners, ensuring smooth interoperability. By equipping organizations with these robust tools, Adjudicator enables effective management of pharmacy benefits and prescription claims, significantly improving operational efficiency and the quality of service provided to members. Ultimately, the comprehensive features of Adjudicator allow stakeholders to remain agile in response to the dynamic landscape of healthcare and pharmacy management, ensuring they are well-prepared for future challenges.

What is AVIXA?

Most pharmacy automation tools were built for large health systems and retail chains, then adapted for independents. The result is software that is often too expensive, too complex, or only solves part of the workflow problem. AVIXA (Advanced Virtual Intelligent eXecution Automation) by Medvitaa was built specifically for independent pharmacies handling 100–300 prescriptions daily. It automates the work that consumes the most staff time: e-script entry, billing workflows, rejection handling, and vaccine claim processing. Unlike screen-watching tools or vision AI systems that break after PMS or display updates, AVIXA integrates directly with PioneerRX at the data layer for stable, accurate automation. Every e-script is processed, validated, and either completed automatically or routed to the tech queue for review. Clean claims move forward while problem scripts are flagged immediately. AVIXA Core automates prescription workflows by processing e-scripts, mapping SIG codes, matching NPIs, and routing exceptions without manual entry. Technicians shift from repetitive input work to verification and review. Core supports PioneerRX and can be live in under five days. AVIXA Nexus adds billing and workflow automation including cycle fills, intelligent rejection handling, prior authorization fax routing, and the complete VaxFlow immunization suite. AVIXA VaxFlow is also available as a standalone immunization workflow module. Patients complete intake through the pharmacy’s branded website while insurance, consent, and clinical data are captured and auto-populated into the PMS. Claims adjudication is automated under the pharmacy’s own brand and URL. Patient data never leaves the pharmacy. AVIXA is locally installed with zero cloud storage, and MedVitaa never stores, accesses, or monetizes pharmacy data. No onboarding fees. No contracts on Core and Nexus. First month free at launch.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Pricing Information

Pricing not provided

Pricing Information

Get a Custom Quote
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS
On-Prem

Customer Service / Support

Standard Support
24 Hour Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Online Training
On-Site Training

Company Facts

Organization Name

Cervey

Date Founded

1978

Company Location

United States

Company Website

cervey.com

Company Facts

Organization Name

AVIXA by Medvitaa

Date Founded

2021

Company Location

United States

Company Website

medvitaacare.com

Categories and Features

Categories and Features

Pharmacy

Not specified

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