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DpRx.com TeleClaim System |
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| MENU-DRIVEN | PLAN DESIGN | SIM/PLAN | SIMPLICITY |
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The Futuristic Solution for On-Line Drug Claims Adjudication and DUR |
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THE FUTURE IS NOW When we at DP/Rx took a long look at our industry, it wasn't difficult to discover that no one was breaking away from the pack. All of the major claims-processing vendors had conquered the major hurdles to providing effective adjudication, cost containment and Drug Utilization Review/ Evaluation. The sophisticated programming, the maze of communications protocols and technologies; these problems had been solved a number of years ago. The industry pioneers had mastered the machines, to the point where literally hundreds of claim processing decisions and benefit calculations could be made at blinding speed. Even comparisons of various hardware platforms - from micro to mini to mainframe -revealed little or no functional superiority from one system vendor to the next. The claims processing industry was reduced to waiting around for the next astounding hardware "breakthrough" so we could scurry around to tweak our machines to be just a little faster or more comprehensive than the other guy. And then, finally, we at DP/Rx had a breakthrough of our own. What if we could harness all that power and accuracy and functionality to the point where we could directly empower the healthcare professional who would actually be using it? Why allow the fog of computers to distance the professional from the very job he needs to perform? Instead of continuing the superiority and control over the ordinary user by creating systems that were more and more technologically complicated, why not deliver a system that anyone familiar with the pharmaceutical industry could master in a couple of hours? Overnight, our system designers and programming wizards dedicated themselves to a new benchmark of performance: SIMPLICITY comprehensive adjudication free of trials and tribulations. The DP/Rx TeleClaim System is the result of that single idea: to hand over the reins of control from the programmers, analysts and systems designers to the front-line professionals of the health care industry. Moreover, this breakthrough in design comes none too soon. The new national agenda to expand managed care and managed competition will place greater emphasis on increased optimization of drug benefit programs. Benefit managers and Plan administrators will insist on hands-on control of their computer resources. The finished product delivers a system that is, in many ways, even more powerful than its predecessors and yet can be fully operational in the hands of a computer novice, in a matter of days, at the lowest cost-per-claim available. The DPRx TeleClaim System - more powerful, in many respects, than any system on the market - is now available to administrators and drug benefit managers who only need one qualification to master it: They need to know how they want to construct their various groups and plans as a cost effective benefit. To achieve this unparalleled level of simplicity, the TeleClaim System incorporates three unique software tools into one user-friendly package: Menu-Driven File Control, Plan Design and SIM/Plan. |
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