Do I have the commercial capabilities of the mainframe versions of Managed Care adjudication provided by PBMs like PCS, Express Scripts, Merck-Medco, etc.?
Yes. The TeleCLAIM system is the accumulation of ten years of innovative customization by demanding MC users for their particular resulting in an evolution of incremental development. Several of these users were PBMs that required special treatment for multiple customers operating in the same platform. DP/Rx determined early in this development that it must provide a simple to use scheme of building benefit plans. DP/Rx devised an approach using parametric tables to enable execution of highly generalized algorithms accommodating most requirements requested. DP/Rx understood that the most likely individual creating and administering Benefit Plans would be a pharmaceutical clinician or a general pharmacist. The resulting tool was called PlanBuilder and it is designed to enable non-programmers to define a benefit plan by true and false or Yes and No responses and simple designations of quantity, price and percentage. PlanBuilder, operated off-line, was developed to create a parametric tab
Related Questions
- Do I have the commercial capabilities of the mainframe versions of Managed Care adjudication provided by PBMs like PCS, Express Scripts, Merck-Medco, etc.?
- Are there different software versions provided on the KODAK Personal Picture Maker 200 by LEXMARK?
- What’s the difference between the commercial and open source versions?
