Case Studies

Incredibly Fast Turnaround

Client: Commercial Health Plan

Incredibly Fast Turnaround

Challenge:

A contractual issue with the previous vendor required PharmPix to implement their pharmacy benefits over a weekend. Accurate and complete eligibility data was lacking.

How We Fixed It:

PharmPix worked with the eligibility data that was available and built a customized eligibility tool, made an eligibility call center available with access to the eligibility tool to correct inaccurate eligibility data, and came up with a communication strategy with providers to make them aware of the sudden change of PBM. We effectively used our Power Copy tool and enhanced their platform capabilities.

End Result:

Our client was very happy with their new accurate benefit design and formulary management. PharmPix successfully transitioned all its members in just one and a half weeks.

Incredibly Fast Turnaround Incredibly Fast Turnaround