Link to third-party pharmacy payers
Use our solution to access an adjudication network for any third-party processor and deploy flexible, on-demand tools to support research, monitoring and service activity tracking.
Features include a high-speed intelligent network built to operate within existing pharmacy workflow and a security-focused network that supports infrastructure needs.
Secure claims routing to U.S. third-party processors
Switch claims
Switch claims in real time
A cloud-based platform improves flexibility, scalability, security and resiliency. Comprehensive services include claims processing and editing, real-time insurance verification, e-prescribing, medical and vaccination claims billing, and more.
Secure network
Operate on a secure network
Meet your specific infrastructure requirements with a variety of security-enabled connectivity options. Accreditation from Healthcare Network Accreditation Program (HNAP) and the Electronic Healthcare Network Accreditation Commission (EHNAC) supports compliance that exceeds industry established standards and HIPAA Privacy Rule regulations.
On-demand tools
Flexible, on-demand tools
Tools offer the ability to research, monitor, track and troubleshoot service activity for maximum efficiency and productivity. Innovative solutions include targeted messaging and electronic copay programs.
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
Software
Rx Edit
A comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity.
Software
Rx CardFinder™ Services
A pharmacy eligibility service that checks patient coverage with the nation’s largest Pharmacy Benefit Managers (PBMs) and returns real-time responses.
Software
Rx Assist
Our dynamic copay assistance and messaging platform helps deliver real-time prescription savings and educational messaging to patients.