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TAHP News: TAHP Member Spotlight

PerformRx Claims Platform Transformation Delivers Speed and Ease

Tuesday, March 3, 2020  
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Philadelphia, Pa. PerformRx, a URAC-accredited, full-service pharmacy benefit manager (PBM) with industry-leading clinical programs and part of the AmeriHealth Caritas Family of Companies, recently transitioned its claims platform to a cloud-based system that streamlines the way pharmacy claims are processed. The new advanced platform integrates critical claims work streams, such as claims processing, pharmacy network management, prior authorization, clinical programs, Medicare and Medicaid compliance into a single, fast and user-friendly interface.

The platform is flexible, intuitive, and powerful and complements PerformRx’s extensive PBM service offerings, providing high quality, cost-effective pharmaceutical services that favor positive health and financial outcomes for all its clients. PerformRx provides a wide range of customizable PBM solutions to clients all across the United States.

“Since our business incorporates both commercial and government-funded clients, an advanced technology platform was required to further enhance the value we offer our partners,” said Mesfin Tegenu, President of PerformRx, LLC. “Claims is the single biggest pain point for our clients and their members, and moving to a cloud-based solution delivers a level of ease-of-use and efficiency that will provide greater customization around their needs, more flexibility and faster processing of claims.”

About PerformRx

PerformRx LLC is a URAC-accredited, next-generation pharmacy benefit manager (PBM) located in Philadelphia and part of the AmeriHealth Caritas Family of Companies. The company maintains a clinical culture, providing cost-effective therapies and extensive evidence-based programs at an optimal cost to its clients since 1999. PerformRx’s best-in-class pharmacy benefit management services include formulary development, drug therapy management and rebate management. PerformSpecialty® is PerformRx’s wholly-owned and integrated specialty pharmacy. The company’s business segments include Medicaid, Medicare, commercial and employer group plans. For more information, visit www.performrx.com.

About AmeriHealth Caritas

AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 12 states and the District of Columbia, AmeriHealth Caritas serves approximately 5 million Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience serving low-income and chronically ill populations. AmeriHealth Caritas is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. For more information, visit www.amerihealthcaritas.com.

View Source Version: https://www.performrx.com/press/performrx-claims-platform-transformation-delivers-speed-and-ease


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