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The state-of-the-art SelectRx system offers a cost-effective alternative to the task of operating and maintaining an in-house pharmacy claims adjudication system. Transactions from pharmacies are conducted online, in real-time, according to client benefit plan designs. Our Twinsburg, Ohio Data Center currently processes over 180 million claims annually for more than 12 million beneficiaries representing over $4 billion in total payments.

The flexible and easy-to-use SelectRx system fits any benefit plan design and can grow to meet clients’ ever-changing needs. Members can be added, changed, and displayed on-line in real-time via remote access. The SelectRx system is available to our clients and supported pharmacies for adjudication and maintenance 24 hours a day, 7 days a week.

Its powerful, automated features help improve patient care, detect potential conflicts before a prescription is filled and verify eligibility via a range of coverage rules.

First DataBank provides the therapeutic criteria to support prospective Drug Utilization Review (DUR), and the SelectRx System verifies that the prescribed drugs are covered under the provisions of your benefit plan. Responses to claim submissions are returned in seconds to help pharmacies, patients, and providers quickly and easily resolve any issues or conflicts.

Valuable Advantages

• Real-time, online, 24/7 pharmacy claims adjudication
• State-of-the-art, cost-effective outsourcing alternative to in-house claims adjudication
• Flexible, easy-to-use system fits any benefit plan design & easily adapts to changing needs
• On-demand, automatic clinical & financial decision support information
• Robust, reliable & highly secure network

Prime Benefits

• Adjudicate claims quickly & reliably
• Implement benefit plan design changes rapidly
• Tailor benefit plans to member needs & cost containment objectives
• Access knowledgeable Emdeon PBS support personnel
• Opportunity for improved overall patient satisfaction

Prescription Benefit Solutions client-driven training programs guarantee end users have a complete understanding of our technology and use it to full advantage.

Training

• Our first priority is your staff's comfort with our technology and web-based tools.
• We offer additional training as needed because we have a vested interest in your success.
• Our dedicated Account Managers and Project Champions are always available post-training to help with ongoing questions or concerns.