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Medicare Claims Processing

Highly advanced plan functionality, automated restacking process and streamlined PDE workflow - all backed by highly-qualified technical and client support personnel to support PBM claims adjudication systems for Medicare and Medicaid Programs.

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1

PRESCRIPTION RESULTS

Medicare D phases, inclusive of PDE specific value visibility, displayed on every claim allowing for fast review and accurate communication to patients.

2

IMPROVED EFFICIENCIES

The Tredium System restacks claims automatically based on defined triggers, such as eligibility changes, Nx and FIR transactions. Plus, automated PDE creation processes result in timely and precise submissions.

3

MEDICARE-SPECIFIC SYSTEM

Dedicated Medicare D tables that provide an accurate and complete picture of every claim, inclusive of any restacking events.

 

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