Imagine, how easy it will be when you submit a claim transaction for processing, if you receive real time comprehensive patient specific (Patient-Rx360°) actionable drug utilization review (IntelligentDUR 360°Gateway™) information promoting quality/cost opportunities pushed directly into your pharmacy software workflow. It not only saves time, but lets you focus on patient care. Such revolutionary approach is delivered through Collaborative PBM Cloud™ and its IntelligentDUR 360°Gateway™, which was never done by any other PBM due to antiquated, fragmented, and legacy systems.
IntelligentDUR360°Gateway™ extracts information from multiple components of Collaborative PBM Cloud™, analyzes, packages, and delivers as actionable information packet into your workflow as a single message in less than 2 seconds as part of the claim transaction response (NCPDPD.0). IntelligentDUR360°Gateway™ will also alert you if the patient is eligible for medication therapy management (MTM) with corresponding bonus compensation for completing the comprehensive medication review (CMR). The fully automated CMR is completed in less than 15 minutes and queues up the payment in real-time from the PBM. You will also be alerted with various pay-for-performance triggers at the point of sale to improve quality and reduce costs.