Man looking at a bottle of medicine

Claims Adjudication

Claims adjudication doesn’t come in one size fits all...and neither should your software.

Cervey's Adjudicator is a next-gen plan management and claims adjudication platform designed for you, with you. We offer a solution as unique as the needs of your clients, empowering you to provide nimble support in an ever-changing industry.


What makes us different? do.

We listen.

You leverage.

Close up of doctors hand using a tablet

Platform Benefits

  • Access claims in real time, with no need for costly software or licensing, using our secure, reliable systems.
  • Specify your unique parameters for formularies, prescription pricing, rebates, in-network pharmacies and other facets of a well-managed benefits plan.
  • Build and manage formularies, in both standard and custom formats.
  • Create customize pricing based on NADAC, AWP, WAC, MAC, ACQ and other methodologies that you can modify according to your business model.

Platform Advantages

  • SAAS web-based technology
  • 100% HIPAA compliant
  • Advanced security that exceeds healthcare and privacy regulations
  • SOC2, ISO27k, SOX, and PCI-compliant data centers

  • API Integration
  • Rules-based engine
  • Service-oriented architecture
  • Private cloud infrastructure
  • Agile software built for existing and future industry needs

Potential Clients

  • Pharmacy Benefit Manager (PBM) Administrators
  • Third-Party Administration (TPA) Services
  • Retail Chain Pharmacies
  • 340B Covered Entities & Contract Pharmacies
  • Self-Funded Employer Services
  • Hospital & Health System Services
  • Cash & Discount Card Services
  • Pharmaceutical Manufacturers
  • Long-Term Care Services

Service, not just software

Cervey’s Specialty Pharmacy customer support is always there. It’s a 100% real person, who is not outsourced, with real answers to your questions.

Ready to take your claims management program to the next level?

Schedule a Demo