There’s no doubt that, for most health insurance companies, pharmacy claims are an integral part of understanding the cost picture. Especially as they relate to overall healthcare expenses. But because these claims are typically processed externally, health insurance companies face additional, unique challenges.
There can be problems integrating into the company’s EDW. And issues with extracting data and submitting it to external sources. Our experience allows Meridian Technologies to take on these challenges. We’ll not only bring ideas to the table, we’ll bring solutions. Key items include:
- Integration into EDW
- Pharmacy claims utilization
- Managing multiple Pharmacy Benefit Managers