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> Claims Processing & Network Services Patient Assistance / Replenishment Programs
Benefit Design
When it comes to benefit design, your wish is our command. To meet the diverse needs of our clients, NEChealth supports more than 1,500 benefit structures. In addition to traditional designs, we offer multiple-tier co-payments, automated therapeutic substitution, therapeutic class cap arrangements, and brand-to-brand interchanges.
Our system also lets clients preset member usage amounts allowing for prior deductibles and benefit carryovers. Benefit amounts are reset as required. And with multidimensional reports, clients easily track member benefit usage and exceptions. With our ultra flexible program, there are no limits to the number of different benefit parameters supported by our system.
Our Benefits designs also tie in our Replenishment and Patient Assistance Programs.
Account Management
Benefit Design
Claims Payments
Claims Processing
Clinical Services
Drug Utilization Reviews (DUR)
Formulary
Help Desk/Customer Service
Mail Order
Payer of Last Resort
Pharmacy Network
Prescription Cards
Pricing
Rebates
Reporting
       
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