When your claims adjudication engine works, that's great.
When it can also create efficiencies while helping you manage your business, that's RxAgile.
Security & Continuity
We are committed to a risk-based, multi-layered security approach throughout the environment.
Information security standard that provides requirements for establishing, implementing, maintaining and continually improving an Information Security Management System (ISMS).
Specifies requirements for setting up and managing an effective Business Continuity Management System (BCMS).
Protects the confidentiality, integrity, and availability of protected health information (PHI).
A comprehensive, prescriptive, and certifiable framework that can be used by all organizations that create, access, store, or exchange sensitive and/or regulated data.
SOC 1 – Type 2
Report from audit on various organizational controls related to financial reporting.
SOC 2 – Type 2
Report from audit on various organizational controls related to security, availability, confidentiality.
RxAgile is a cloud-based turnkey, white-label adjudication engine, with all the flexibility and simplicity needed to manage your business now and as it grows.
Complexity simplified. Savings optimized. Business maximized.
"We are proud to be partnering with an innovations-driven company like RxSense."
What does advanced technology feel like?
What formerly required IT intervention and coding can now be configured easily through our intuitive user interface by business operations staff. With RxAgile, an eligibility change is made by direct entry to the live platform, or by dragging-and-dropping a file for immediate processing—and it's instantly available.
Single Source of Truth
Our API-driven platform keeps all the tools that support your consumerism strategy up to date. Whether it's member-pay pricing look-up, HDHP-support, or formulary changes—they are always current, in real-time, across the board.
Interoperability across our platforms, RxAgile and RxIQ (our reporting and analytics solution), and between legacy other healthcare systems means reliable access to the vital health information needed to support clinical processes and improve overall care delivery. Our APIs are JSON-based, RESTful-compliant, and meet the Fast Healthcare Interoperability Resources (FHIR) and NCPDP standards.
Branded Member Tools
Deliver the information members want in easy-to-use tools
Our member portal and apps are plug and play, brandable, and available to our private-label PBM clients. Since they are part of RxAgile, the information members need is real time and accessible once they log into their portal or mobile app (iOS and Android). Alternatively, if you have your own portal, virtually all of the member portal’s capabilities can be pulled in via APIs.
Limit display to only those pharmacies available to the client's / plan’s network selection
Robust Drug Search
Find drug information, interactions, along with true member-pay price based on accumulators/benefit status
Secure & Compliant
HIPAA- and regulatory-compliant log-in displaying only the information appropriate to the specific member ID
In a single click, view claim details, Rx specifics, product particulars, patient information
Optimize your plans with real-time, operationally critical analysis and reporting – all within RxAgile
Easy-to-use, dashboard-delivered analytics with simple drill-down capabilities enable deeper insights and investigation. Imagine pulling ad hoc reports on exactly the data you want to see without having to contact development resources. That’s RxIQ®, our analytics environment integrated directly into RxAgile. Scheduled, standardized reports for delivery daily or monthly? No problem. They can even be configured and private-labeled for your downstream clients and delivered to their inbox as well as in a “news stand” environment.
What else would you like to learn about today?
Transparency, control, flexibility are all long over due. We got here as fast as we could.
We're here for you. In the way we wished our PBM was there for us and wasn't.
Whether you're new or been there, we've got an accelerator for you.
Security & Continuity
We're rather proud of all the badges we've earned and the downtime we haven't had.