PBM Express
PBM Express is a cutting-edge claims processing software designed for the pharmacy benefits management industry. It features a robust adjudication program that executes extensive edits for precise claims results, accommodating complex plan designs. Its flexible architecture allows for client-specific customization, ensuring optimal performance and adaptability as claim volumes grow.
Top PBM Express Alternatives
OneTouch Claims Processing Software
OneTouch Claims Processing Software streamlines the claims management process by enabling users to easily submit claims, access Apex's website, and retrieve past claims directly from their desktop.
PlanXpand
PlanXpand™ is a robust transaction processing engine that enhances healthcare administrators' capabilities by integrating seamlessly with existing systems.
Smart Data Solutions
Offering advanced tools for automated document processing, this solution captures and validates inbound claims, enrollment forms, and medical records with precision.
POWEReob
POWEReob simplifies insurance payment posting by transforming paper EOBs into electronic remittance files in ANSI 835 or NSF format.
NetClaim
NetClaim stands out with unparalleled customization and adaptability, ensuring precise claims processing tailored to unique organizational needs.
Enter
Revolutionizing Revenue Cycle Management, this AI-powered platform accelerates payments for healthcare providers, ensuring faster claim processing and transparent patient billing.
MyClaimStatus
Utilizing robotic process automation, it streamlines workflows, enabling faster reconciliation of reimbursement rates and improving...
Risk Manager
It supports ODBC compliant applications independently of ERIC Systems...
MergeWare-TIFA
This solution enhances workflow efficiency through custom development, integrating with various systems to simplify data...
CyberSource Medical
Installed on-site, it accurately processes CMS-1500, ADA-2006, and UB-04 forms, leveraging advanced features like intelligent...
MediClaims
It efficiently handles various claim types, including medical, dental, and consumer-driven healthcare plans...
DSS Fee Basis Claims System
Supporting $5 billion in annual payments to non-VA providers, the software ensures timely management of...
MD Claim
It enhances operational efficiency by integrating scheduling, data collection, and real-time analytics into a single...
Hi-Tech Series 3000
It streamlines client management, benefits input, and electronic claim submissions, enhancing productivity...
maxRTE
With flat-rate pricing and no-risk trials, organizations can streamline revenue cycles, reduce denials, and uncover...
Top PBM Express Features
- Flexible client customization options
- Real-time data access
- Modular and scalable architecture
- Integrated call center software
- Role-based access for personnel
- Advanced reporting platform
- Multi-functional eligibility loader
- Error modification before database update
- Secure remote report access
- Business to Business Switch functionality
- Multi-threaded claims data handling
- Fast claim processing edits
- User-friendly interface design
- Prior authorization efficiency tools
- Multiple billing and payment cycles
- Continuous system updates
- Enhanced claims adjudication accuracy
- Improved member satisfaction metrics
- Collaboration for product development
- Industry-leading uptime performance
