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| SIMPLICITY .. THE PATH LESS TRAVELED |
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A number of systems on the current market will adjudicate a claim in less than a second, provide unerring accuracy, and produce reports on every conceivable criteria. It is the very nature of computers to flawlessly provide these services. On the other hand, it is not necessarily the nature of computers to provide easy access to these functions. For too many administrators, the computer seems to be the major obstacle that stands in the way of doing the job ... rather than the major tool for accomplishing it. No health care professional should have to fight past programmers and technocrats to gain direct access to controlling adjudication. The middle-man wastes too much valuable response time when the administrator's direct access to maintaining a benefits program should be no more than a few keystrokes away. While most systems are certainly competent, only the TeleClaim System has been carefully crafted to deliver such a high level of sophisticated control into the hands of the administrator. When every aspect of the claims processing system, from entering a new member, to establishing co-pay, to making adjustments on checks to pharmacies, is clearly and directly available ... the system has evolved beyond an unapproachable machine to a valuable 'hands-on' tool. With the TeleClaim System, the administrator's immediate response to change may be relegated to a minor daily routine instead of two weeks of meetings with a host of programmers and consultants. TeleClaim is flexible, versatile and easy-to-use ... with the lowest cost-per-claim available. Also, TeleClaim clients are not 'picked to death' by a barrage of hidden fees for record storage and other innocuous miscellaneous charges. Drug Utilization Review or Evaluation ("DUR" or "DUE") is an important option with the TeleClaim system. This feature is provided on a tailored basis. The user's system is configured with only those features of DUR desired by the Benefit Manager or Administrator which helps simplify the start-up system. Additional DUR features may be added when needed without disruption. Every single vendor in pharmacy claims processing delivers essentially the same package: reliable rapid adjudication, a shopping list of benefit options for controlling that adjudication and a healthy stack of reports. DP/Rx offers the same package at unbeatable prices while, also, delivering a system that puts total control in the hands of the actual users. A system that can be mastered by any computer novice in just a couple of days. Computer programs that harness awesome processing power with literally hundreds and hundreds of functions are often impossibly difficult for anyone to use. User-friendly software that's easy to access, never seems to have enough functions to do the job adequately. Great software is a carefully-designed balance between power and simplicity. Great software delivers 'real world' solutions. The DP/Rx TeleClaim System is simply a great software solution to drug claims processing. |
