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
Podcast
Optum payer market CEO Steve Yurjevich discusses opportunities to streamline operations and deliver more value across the health system.
Article
Challenges around affordability and access to quality health care are far more prevalent than one might think. In fact, about half of Medicare Advantage members live on an annual income of less than $25,000.
Complementary solutions
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Rx Edit
A comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity.
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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.
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Rx Assist
Our dynamic copay assistance and messaging platform helps deliver real-time prescription savings and educational messaging to patients.