eRx Adjudicate™ - specialty claims adjudication

eRx Adjudicate™ provides a comprehensive, easy-to-use solution for pharmacies to manage patient loyalty offerings, employee plans and discount generic drug programs, as well as other pharmacy programs that require specialty adjudication and/or processing.

By performing a series of claim pricing, compliance and administrative edits on specific claims, eRx Adjudicate allows your pharmacy to administer various financial/discount logic, in addition to product and patient eligibility criteria.

With eRx Network’s specialty claims adjudication service, your pharmacy will be able to implement patient-based programs that match eligibility requirements in real time. These eligibility checks are based on a customer-provided patient eligibility file that is managed and updated as needed throughout the program.

Additionally, eRx Adjudicate may be configured to invoke specific actions based on formularies provided by the customer. After the initial product eligibility file is loaded by eRx Network, your pharmacy will be provided access to a web interface for day-to-day management.

eRx Adjudicate supports a comprehensive suite of product offerings designed to meet your pharmacy’s small business adjudication needs. These services include eRx Patient Loyalty™ virtual loyalty program execution, eRx 340B™ virtual inventory and complete cycle management, and eRx Cash™ pricing and rebate management.