Hey peeps...i’m doing research on enterprise SaaS solutions for healthcare claims management solution (e.g., claims administration, forms management, registration, submission and processing, adjudication, payments). Something that would connect directly with pharmacy network and provide real-time services along with everything else. Does something like this even exist?

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Lol mercer

Not sure if there is a SaaS version for “Facets”

Thanks

Look at CAQH

Thanks. Let me check it out.

Sorry folks...maybe i became too ambitious...lets just focus on one things - claims processing - something that connects with pharmacies and based on pre determined rules on different drugs and deductibles and all that approves claims in realtime. What other large insurers use - do they all have their home grown systems?

Trizetto facets , cognizant, change healthcare, all have these offerings

Thanks Associate 1...let me check them out

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