The Advanced Benefit Verification tool leverages our Surescripts partnership along with multiple data sources and proprietary algorithms to improve overall patient coverage results and includes monitoring and reporting.
In addition to Real-time Pharmacy Benefits information, this advanced solution provides additional data insights on costs and prescription benefit to drive even greater accuracy and automated return responses to further enhance the patient journey and overall experience.
Leveraging our proprietary network that connects to all the major payers and PBMs, our Advanced Benefit Verification solution provides immediate and comprehensive patient coverage results for all pharmacy benefit therapies in less than 30 seconds.
Advanced Benefit Verification goes above and beyond other real-time pharmacy benefit solutions in the market to provide real-time, immediate access and further enhanced return results on:
- – Patient coverage
- – Patient out-of-pocket cost
- – Drug access restrictions (e.g., prior authorization required)
- – Coverage alerts (e.g., age limit, days or supply exceeded)
- – Fill options for all therapies
- – Unique data such as formulary status and employer
- – Plan- and patient-level prior authorizations