Service Features
Clients may customize reporting features using the PC Pros "Internet"
connection or standard paper reporting. (Please visit the Privacy Statement
for a full "security" and "confidentiality" explanation.) All modified data is
stamped with username, date, and time codes. The secure WEB code is "modular,"
therefore each Rx Benefits Providers' login may be unique.
Service features of PC Pros:
PC Pros strives to provide the "Rx Benefit Provider" with every
efficiency toward increased human and monetary profit!
Service features of PC Pros:
| Maintain, Update, and Report all pertinent data | |
| Plan Group Benefits | |
| Formularies | |
| Member Eligibility and Exclusions | |
| Custom Provider Data | |
| Add/Edit/Term Member Coverage | |
| All Standard and "other" Report/review functions (File downloads, audits, etc.) | |
| Analyze and Audit Claim Transactions | |
| Activate (or Terminate) Pharmacy providers | |
| Drug listing, utilization, and exception reports | |
| Maintain and provide 24 hours 7 days per week Rx Provider claims system | |
| Real time (< 1/100th second) claim submission and adjudication | |
| Member Care and Eligibility verification | |
| Brand and generic coding compliance | |
| Maintain and provide all pertinent billing services | |
| Customized frequency and definition of billing and reimbursement cycle | |
| Customized claims, financial, management, and utilization reporting features | |
| Net 10, 15, 30 day correction and adjustment | |
| Maintain Client Care | |
| Provide ongoing support: implementing new market trends and behavior | |
| Distribute appropriate information and periodicals pertaining to industry | Provide studies: Utilization Reviews and Dispensing Practices |
efficiency toward increased human and monetary profit!
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