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Ratings and Reviews 0 Ratings
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What is FBCS Enterprise?
FBCS Enterprise acts as a unified platform that improves decision-making for non-VA Purchased care, resulting in more effective management and processing of fee basis claims. The web-based tool, CTM Plus, refines workflows and delivers essential oversight to tackle problems related to consults and Return to Clinic (RTC) tracking, thereby ensuring timely communication with patients and efficient scheduling. Furthermore, purchasing analytics are vital in reducing expenses and eliminating waste, which enhances accountability across the healthcare system. The automated tracking of expired and recalled items is a significant factor in maintaining patient safety. Delays or mistakes in order fulfillment can negatively impact financial outcomes and the standard of care received. The time devoted to managing paper records and digital interfaces limits crucial patient interactions, while the verification of opioid prescriptions for each patient can be an arduous and complex task. DSS PDMP alleviates this burden by merging all required checks into a single, uncomplicated process, thus improving patient care efficiency. This comprehensive strategy for managing care not only streamlines operations but also leads to enhanced health outcomes for patients, ultimately fostering a more responsive and effective healthcare environment. By focusing on these efficiencies, the system can allocate more resources toward direct patient engagement, which is essential for improving overall care quality.
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.
Integrations Supported
Additional information not provided
Integrations Supported
Additional information not provided
API Availability
API Availability
Has API
Pricing Information
Pricing not provided
Pricing Information
Pricing not provided
Supported Platforms
SaaS
Windows
Mac
Supported Platforms
SaaS
Customer Service / Support
Standard Support
24 Hour Support
Web-Based Support
Customer Service / Support
Standard Support
24 Hour Support
Training Options
Documentation Hub
Webinars
Online Training
On-Site Training
Training Options
Documentation Hub
Webinars
Online Training
On-Site Training
Company Facts
Organization Name
DSS
Date Founded
1991
Company Location
United States
Company Website
www.dssinc.com/federal-health
Company Facts
Organization Name
Cervey
Date Founded
1978
Company Location
United States
Company Website
cervey.com
Categories and Features
Claims Processing
Case Management
Claim Resolution Tracking
Customer Management
Categories and Features
Claims Processing
Not specified
Healthcare Claims Management
Not specified