What’s included in Rx CardFinder™ Services
Check member eligibility
Check member eligibility with leading PBMs
Benefits include:
- Returns a real-time response to the pharmacy
- Provides information including BIN, PCN, group number, cardholder ID, person code and processor helpdesk number
- Options to send inquiries only to our Commercial Eligibility Partner or combined with our Medicare Part D Eligibility Partner
Coverage options
Determine additional coverage options
Benefits include:
- Returns all eligibility information when multiple coverages are found
- Informs pharmacy if no coverage is identified
- Streamlines eligibility inquiries with a single transaction
Key benefits
Perform automatic, real-time eligibility inquiries for new prescriptions.
Automation streamlines workflows
Check member eligibility in real time using existing pharmacy management system workflows and improve your workflow with automatic inquiries for new prescriptions.
Technology identifies coverage information
Obtain coverage information for more than 270 million individuals and Medicare Part D enrollees with Rx CardFinder Services.
Customer service helps save staff time
Automation frees your staff to focus on enhancing other areas of the business. It also speeds workflows, helping enhance the patient experience.
Industry insights
Article
Learn how Optum takes an innovative approach to smarter, more accurate healthcare coding.
Report
The proposed changes contain a mix of both opportunities and challenges. Read the report to learn how these changes could impact your organization.
Article
As rising costs, administrative friction and uneven access continue, the need for smarter and simpler solutions remains urgent.
Complementary solutions
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Rx Assist
Our dynamic copay assistance and messaging platform helps deliver real-time prescription savings and educational messaging to patients.
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Rx Edit
A comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity.
Software
Rx Connect™
Our claims switch adjudication network allows pharmacies to send claims in real time to any U.S. third-party processor.