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Software

Rx Connect™ Solution

Our claims switch adjudication network allows pharmacies to send claims in real time to any U.S. third-party processor.

 

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

The Impact of AI on Today's Pharmacy: An Interview

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The impact of AI on today's pharmacy benefits

In our latest podcast, two AI experts discuss how Optum Rx is leveraging artificial intelligence while prioritizing privacy and security.

New Pharmacy Benefit Solutions to Help Bend the Cost Curve

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New pharmacy benefit solutions to help bend the cost curve

In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.

Coding Modernization: Leveraging the Power of AI 

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Coding modernization: Leveraging the power of AI

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