Medical and Pharmacy Benefits Management Application
GxCare® is an automated benefits plan management system for benefit intake, modeling and cataloging that provides clients simplified benefits access for easier benefits maintenance and complete traceability. Automated benefit certification and benefit reuse are just some of the advantages that will drive increased operations efficiency, accuracy and enhanced speed to market. Designed to be scalable and flexible with rules-driven translations and benefit loading, GxCare® traceability means you are always audit-ready.
%
increase in efficiency through the use of automation
%
reduction in errors, decreasing performance penalties
%
reduction in production errors
Globally Implemented at Fortune 20 Organizations
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Distinctive Features
- Complete codebase for RxClaim and variants, and those of other top PBMs
- Documentation: process handbook, training material, marketing collateral engagement and deployment model
- Record type library & maps into specific adjudication engine
Invention
- Record type repository and dictionary (>400 record types)
- Modeling using historical claims (using GxClaims®)
Asset
- Complete codebase for RxClaim and variants, and those of other top PBMs
- Documentation: process handbook, training material, marketing collateral, engagement and deployment model
- Record type library & maps into specific adjudication engines
Scale Opportunities
- Involves our client in their clients product development
- Documentation: process handbook, training material, marketing collateral, engagement, and deployment model
- Record type library & maps into specific adjudication engines
To unleash the full power of GxCare®,
use with GxCapture™ (intent capture) and GxClaims® (claims verification).
use with GxCapture™ (intent capture) and GxClaims® (claims verification).
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