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
![Meet Ben: A Home & Community Member Journey [Infographic]](/content/dam/optum-dam/images/business/insights/home-and-community-care-transitions-member-journey-1080x720.jpg)
Infographic
Follow Ben's story from the day of his surgery to his recovery at home and see how Optum Home & Community is helping improve the lives of patients.
![First Oral GLP-1 Drug for Weight Loss [Report]](/content/dam/optum-dam/images/business/pharmacy/pharmacist-with-pills-1080x720.jpg)
Report
Explore 3 new drugs for chronic conditions including obesity, severe asthma and hives (also known as urticaria).
Report
Discover 5 key trends that can help healthcare organizations streamline processes, minimize errors and deliver faster, more reliable services.
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.