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?
Well...you do.
We listen.
You leverage.
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?