Third party administrators (TPAs) encounter unique challenges with their claims adjudication processes. Several factors play a part in determining the importance of a plan management system for you.

INTEGRATION
Adjudicare integrates with existing client applications being run internally, extending into complementary software components of your claims adjudication system. So, if other programs are being used for related functions, Adjudicare can integrate with them, providing a seamless solution for exchanging and reporting data.

COMPLETE SOLUTION
Adjudicare is an end to end solution, so from the time a claim is received all the way to payment generation, the entire process is owned by you. Adjudicare can manage multiple, complex plan designs and still monitor and manage all back end data internally. Your data is always accessible, usable and owned by you. And those reports that insurance companies are always asking for? Our customizable reports let you choose what information to extract and what information to submit.

SELF PROMOTION
The Adjudicare system is a “white label” solution. So, there will be no mention of Adjudicare or Automated Benefits on any piece of material you give to your client. Your logo goes on all reports, drug cards and payment cheques that you issue. This means that no other brand will come between you and your client.

COST EFFECTIVE
Combining multiple aspects of your claims management process into one software system makes sense. Adjudicare is a smart and cost effective solution that works for companies of every size.

HIGHER EFFICIENCIES
The Adjudicare application allows users to support multiple blocks of business, including their network of agents, with less effort than ever before. Similar plan designs can be implemented and saved for future use. Basically, there’s no need to reinvent the wheel each time you enter a plan. Efficiencies also increase due to the adjudicator’s ability to manage larger claim volumes in less time and increased productivity is a very positive byproduct.