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Payment Integrity
The US drug delivery system is a dynamic puzzle of data, contracts, and disparate systems that can make it difficult to ensure your pharmacy claims are paid correctly and in line with your contracts. HDS Claim Scan allows you to minimize claim errors and realize savings by using technology to continuously identify and monitor your data in a pre-payment environment.
HDS Claim Scan
HDS Claim Scan
Claim Scan is a claims oversight solution which provides continuous analysis of 100% of prescription claims data. 250+ proprietary algorithms are deployed to analyze PBM performance against market competitive pricing, contract terms, plan design, regulatory requirements, and safety.
Benefits of Claim Scan Include:
- Continuous and Ongoing Review of 100% of Pharmacy Claims
- Pre-Payment Integrity
- Self-Service (SaaS) or HDS-Service
- 250+ Proprietary Scans to Detect Claim Error
- Analyzes PBM performance against 5 key domains
Explore Additional Solutions
Pharmacy Data
Insights
Rx Oversight & Analytics
Rx Oversight & Analytics
Rx Oversight
& Analytics
Campaign Management
& Compliance
HDS RevealRx
HDS RevealRx
HDS
RevealRx
Customized
Services
Audit | RFP | Contract Analysis
