VBA Functionality  >  Pharmacy Claims
Pharmacy Claims
  • Track all incoming pharmacy information (EDI or otherwise) including drug code, pharmacy date, fill date, quantity, prescription number, refill/generic indications, member responsibility and the actual prescription amounts.


  • Capable of building prescription specific benefits using our dynamic plan and benefit design module allowing for user-defined restrictions (such as experimental drugs) or pricing modifications to monitor and manage member responsibility.


  • Capable of importing standard (NCPDP) or non-standard pharmacy claim transactions depending on client need (see "EDI" heading for additional information on EDI capabilities)