A post-adjudication, prepayment analytics software solution that reviews 100% of every claim file at the line-level to identify payment errors and take immediate action to fix those errors. HDS Claims Insight enables payers to quickly and accurately document and dispute adjudicated pharmacy claim errors in five key domains: contract adherence, plan design, regulatory compliance, treatment protocols, and price and formulary management.
Leading-edge technology that measures PBM performance against a variety of key performance benchmarks for the PBM industry. These benchmarks are based on an evaluation of billions of prescription claims and help ensure PBM services are accurate, compliant, and market competitive.
When your team is at capacity, HDS can help ease the strain by providing additional pharmacy support and industry-leading expertise when you need it most.
HDS Formulary Management™
HDS Customer Analysis™
HDS Clinical Consulting™
HDS Provider Insight™