| 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™ including:
- 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
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