PBM Express: Claims Adjudication System
Our adjudication system, PBM Express, is the most advanced software program available today for pharmacy claims processing. The program offers a Windows-based graphical user interface which provides a familiar workflow environment that is easy to navigate and use. The program is loaded with features that will make your benefit management process more efficient than ever before.
The system is composed of three different modules:
Adjudicator
The core of PBM Express is the adjudication program. Claims undergo hundreds of edits to achieve accurate processing results, no matter how sophisticated the adjudication design. The parameter driven program provides a very flexible architecture that lends itself to client customization as needed. Our advanced software solution is coupled with the leading industry hardware and software infrastructure so that we can provide our clients with superior performance and maximum uptime.
PharmScreens
PharmScreens is the Windows-based Graphical-user-interface for PBM Express. PharmScreens is a desktop application that requires 32-bit Windows (Windows 95, Windows 98, Windows NT, or Windows 2000). The application program is installed at your location and, if desired, at your remote users. locations. Remote users access PBM Express via a secure Internet connection.
PharmView
PharmView is the reporting program that utilizes Crystal Reports as its report writer. Choose to use our already-created reports, and/or develop and manage your own set of reports independently. PharmView is a Windows-based desktop application that requires 32-bit Windows.
Key Benefits:
- Real-time Claims Processing
- Windows-based Graphical User Interface
- Customer Call Center Integration
- Complete Portfolio of Customizable Reports
- Parameter Driven to Meet Your Requirements
- Scalable from 1000 Claims/Month to 10 Million Claims/Month
BTB Switch.: Multi-threading Switch Program
Our multi-threading switching product would be beneficial to companies that are sending and receiving claims data from more than one IP address. The switch is a component of the PBM Express System, but can also be used with other adjudication programs.
Key Features:
- A multi-threading switch that connects and handles traffic between NDC/WebMD, your company and a claims adjudication program.
- Multi-threading: it can accept multiple files before sending a response and vice versa
- Routes any BIN/PCN to any IP/TCP port combo