Payer Solutions

• Specialty Insourcing
• Referral Processing
• Authorizations / Pre-certification's
• Care Management Programs
• Provider Collaboration
• Utilization Management

Our Payer Products

ScriptMed Specialty Pharmacy (SP)

We offer the following bundled ScriptMed technology solutions for payers:

ScriptMed SP Central

For the health plan that wishes to increase its control of the Specialty Pharmacy budget and improve the management of patients meeting criteria for specialty medications, ScriptMed SP Central is the answer. This solution enables intelligent coordination of specialty patients across a network of various pharmacy dispensing facilities.

ScriptMed enables payers to administer complex prior authorizations, manage advanced patient care programs, simplifies Specialty Pharmacy handling for referral sources, and enables new and unique contracting opportunities with pharmaceutical manufacturers.

ScriptMed SP Insource

For the health plan that employs a strategy to insource Specialty Pharmacy operations, the full suite of ScriptMed Specialty Pharmacy software and services will provide a turnkey solution. Built with end-to-end functionality for high volume specialty pharmacies, the solutions combine the necessary processes and flows of the traditional pharmacy with the value-added, patient care and reimbursement requirements of the specialty pharmacy model. 

ScriptMed Collaboration

ScriptMed Collaboration is the solution that allows web-based, secure interactive patient care workflows to be established among pharmacies, physicians, clinics, and other healthcare providers.

Learn more about ScriptMed Functionality and Technology.

Our Payer Services

ScriptMed CareDirect

Let the Service Center perform duties such as Referral Intake, Coordination of Benefits, Clinical Data Collection and others. Learn more about ScriptMed CareDirect.

ScriptMed CareAssist

The Service Center can partner with your existing team to help when you have ebbs and flows in your business and do not want to add staff. Learn more about ScriptMed CareAssist.

ScriptMed Interchange

Looking to reduce phone verifications and incomplete authorization requests? ScriptMed Interchange facilitates partnerships with the pharmacy supply chain to ensure streamlined communications that create efficiencies in getting your patients the care they need. . . with more speed and accuracy than the industry has ever seen. Learn more about ScriptMed Interchange.