Our Solutions
Real-time Electronic Claims Processing
- Data integrity validation
- Eligibility management
- Utilisation management
- Clinical management
- Formulary compliance management
- Provider management
- Price management
- Reference price management
- Benefit validation
Chronic medicine and condition authorisation management
Mediscor ChroniLine is our comprehensive chronic medicine authorisation and condition registration service. Authorisations are performed by qualified pharmacists and pharmacy assistants.
Data Analysis and Reporting
Standard reports:
- Clinical and operational
- Executive summary
- Expenditure
- Service level agreement
- Ad-hoc and customised
Analytical tools:
- Analyzer medicine claims
- Chronilyzer chronic condition registration and medicine authorisation
- Patient Experience Monitor – provider compliance
Pharmacy Network Management
Mediscor provides a comprehensive Pharmacy Network Management service. The service includes engagements with all levels of pharmacy.
Consulting and Advisory
- Benefit-related clinical advice
- Benefit design
- What-if studies and impact analysis
- Formulary selection
- Managing claims expenditure
Client Support Services
- Contact centres
- Dedicated client support teams
- On-line search facilities
- Patient communications