CMdS Claims: Supports simple and complex pricing methodologies using configurable program and benefit plan capabilities.
CMdS Financial: Provides accounts payable, accounts receivable, and financial management solutions and eliminates the need to piece together information from multiple systems.
CMdS Pharmacy: Offers real-time comprehensive NCPDP-compliant claims adjudication functionality that automatically evaluates eligibility, drug coverage, benefit limitations and pharmacy network enrollment prior to dispensing.
CMdS Drug Rebate: Maximize efficiency with configurable, integrated flexibility to support all major rebate types. Our user-friendly, point-and-click graphical user interface and suite of reports makes all actions intuitive.
CMdS Federal Reporting: Offers flexible, comprehensive reporting functionality to meet federal reporting requirements, standard reporting to advanced ad hoc queries and analytics.
CMdS Contact Center: Delivers an effective omnichannel communications using routing, workforce optimization, automation, and analytics.
CMdS EDW & Analytics: Provides program insights, trends and actionable knowledge to form a 360° view of program performance and member engagement. Data management and analytics services …