We offer a range of solutions to help plan sponsors better manage their Drug, Dental and Extended Health benefits.
Prescription Drug Claims Adjudication
Dental Claims Adjudication
Claims Adjudication for Extended Health Benefits including Paramedical Services such as Chiropractors, Podiatrists and Massage Therapists.
NexgenRx™ Intervention Suite™ includes:
- Concurrent Drug Utilization Review to protect patients and ensure compliance
- Trial Prescriptions to manage drug tolerance and reduce costs
- Dynamic Maintenance Dispensing to reduce dispensing fees
- Prior Authorization to assure medical necessity of a treatment protocol
- Therapeutic Cross Selection and/or Step Therapy to promote cost effectiveness
- Paid professional services by pharmacists to enhance patient disease state management
Retrospective and prospective claims data analysis by pharmaceutical experts.
Individual and aggregate stop loss products available.
Comprehensive Emergency Out Of Province/Country Travel Benefits.
Medical concierge services that include.
- 24 hr. phone a doctor/nurse access
- Discounts on diagnostics for earlier detection
- Discounts on physician/specialist and surgical procedures
- Over 300,000 physicians & specialists
- Over 2,000 hospitals