ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
When your claims adjudication engine works, that's great.
When it also creates efficiencies while helping you manage your business, that's RxSense.
Our adjudication engine is cloud-based and turnkey, and has all the flexibility and simplicity needed to manage your business now and as it grows.
Certified Secure. Continuity Ensured.
We are committed to the security of our environment and the continuity of business. This is reflected in our un-breached, risk-based, multi-layered security approach, across multiple redundancies, with zero unscheduled down time since 2020.
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?
Configuration Innovation
What formerly required IT and coding can be easily configured by business operations staff. Eligibility changes can be made by direct entry or drag-and-drop with intuitive validation interface for immediate processing and availability.
Single Source of Truth
Our API-driven platform provides a singular up to date view of your ecosystem. Whether it's member-pay pricing look-up, HDHP-support, or formulary changes – they are always current, in real-time, across the board.
Seamless Interoperability
APIs enable interoperability which in turn provides improved 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 our adjudication, 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 our member portal’s capabilities can be pulled in via APIs.
Pharmacy Locator
Limit display to those pharmacies available to the client's / plan's network selection
Robust Drug Search
Find drug information, interactions, along with real-time true member-pay price based on accumulator / benefit status
Flexibility is inherent in all that we do
You bet we've changed the game.
From our transformative business and service models to pick and choose accelerators, our scalable adjudication platform to customizable reporting and alerts (with everything available in your brand), we believe in providing you with options. It’s your business – our solution simply makes it easier to do it faster and more efficiently. You’re welcome!