Emdeon Business Services provides the systems infrastructure as well the administrative support necessary to allow payers to effectively manage their prescription benefit program in-house.  Emdeon’s award-winning, flexible claims processing system supports complex benefit designs, multiple networks, and client-owned contracts.

Just tell us what you need. Emdeon can tailor our services to provide as much assistance as your organization needs:

• Our core service is pharmacy claims adjudication and data reporting
• We can provide transparent call center support for member and pharmacy calls
• We encourage and assist our clients in negotiating their own Retail Pharmacy Networks and maintain a MAC list while we handle the network administration
• We encourage our clients to hold their own Drug Manufacturer Rebate Contracts while providing them with additional clinical support and the drug manufacturer contract management tool to reconcile rebates with the manufacturers.

Flexible, customizable products

Pharmacy Claims Adjudication - The state-of-the-art SelectRx system offers a cost-effective alternative to the task of operating and maintaining an in-house pharmacy claims adjudication system.

Rebate Management - Provides a secure, web-based manufacturer rebate management system with exceptional decision support capabilities that calculates, invoices, and reconciles rebates electronically for all manufacturers

Network Administration - Fully supports client-negotiated retail pharmacy network contracts, but also maintains our own nationwide network of participating NCPDP licensed pharmacies.

Customer Service Call Centers - Tapping nearly 20 years of Pharmacy expertise, Emdeon offers health plans exceptional solutions for outsourcing pharmacy and member call support that can save money and provide transparent staff extensions.

Web-Based Reporting - Web-based, ad hoc reporting tool, SelectRx Insight, provides a clear window into the clinical and financial information pharmacy benefit managers must use on a daily basis.