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What is VerifyRX?

VerifyRx is an innovative solution for prescriber verification that emphasizes compliance and is specifically designed for pharmacies and pharmacy benefit managers (PBMs), seamlessly integrating with their established workflows. This robust system handles millions of transactions each day, ensuring that prescriber details are continuously updated in real-time by utilizing data from various sources, including the Drug Enforcement Administration (DEA), state regulatory bodies, and the National Technical Information Service (NTIS). By operating within the pharmacy workflow, VerifyRx not only refreshes extensive prescriber information but also conducts immediate compliance checks on prescription transactions prior to their submission to payers. Such a proactive strategy helps retail and specialty pharmacies reduce regulatory risks by pinpointing potential inaccuracies in claims before medications are dispensed to patients. Consequently, VerifyRx plays a crucial role in enhancing the efficiency of pharmacy operations, while simultaneously reinforcing compliance with regulatory requirements. The system’s ability to streamline processes and safeguard against errors ultimately contributes to better patient outcomes.

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.

Media

Media

Integrations Supported

Accurint Virtual Crime Center
Availity
Bridger Insight XG
CaseMap
Clarify Health
Cognizant
CounselLink
CourtLink
Hg Mercury CRM
Lex Machina
Lexis
LexisNexis InterAction
LexisNexis Lead Integrity Attributes
LexisNexis Predictive Modeling
LexisNexis Risk Solutions
Nexis
Nexis Diligence
Nexis Newsdesk
Welltok SmartReach

Integrations Supported

API Availability

API Availability

Has API

Pricing Information

Pricing not provided
Free Trial Offered?

Pricing Information

Pricing not provided

Supported Platforms

SaaS

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
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

www.lexisnexis.com

Company Facts

Organization Name

Cervey

Date Founded

1978

Company Location

United States

Company Website

cervey.com

Categories and Features

Pharmacy

Not specified

Categories and Features

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