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Real-time data that can empower your daily business intelligence? 

 

Makes Sense

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Real-time Data and Analytics

RxAgile changes the game with its integrated, cloud-based RxIQ analytics environment. Grant access levels for anyone from staff to clients and partners. 

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Dashboards & Reports

Easy-to-use, dashboard-delivered analytics with simple drill-down capabilities enable deeper insights and investigation, and powerful self-service ad hoc reporting and analysis tools avoid the delays of ad hoc report development requests.

Alerts

Real-time alerts to clinicians or plan management means actionable information is delivered at the most opportune time of intervention. Configure alerts to notify client teams of financial or clinical items that you define - a capability long overdue in the PBM industry.

PBM Tool Set

The PBM Financial Operations Module is a set of tools for managing PBM financial operations and performance, leveraging automation and machine learning, while accelerating speed to market and business management. 

Proactive Strategy

Rules, advance algorithms and machine learning, and extensive expertise combine to deliver strategy and guidance leveraged from RxIQ’s real-time data to bring you plan performance enhancement opportunities.

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RxIQ delivers intelligence at the speed of business.

"We are proud to be partnering with an innovations-driven company like RxSense."

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Real-time alerts for live plan events.


Thresholds and event triggers can be set to send an array of alerts. 

Real-time alerts to clinicians or plan management mean actionable information delivered at the most opportune time of intervention. Alerts can be configured and set to notify client teams of financial or clinical items that they define—a capability long overdue in the PBM industry and novel on its own.

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Proactive Strategy & Recommendations for
Plans and Members

Rules, advance algorithms and machine learning, and extensive expertise combine to deliver strategy and guidance leveraged from RxIQ’s real-time data to bring you:

  • Plan performance enhancement opportunities: add a new step therapy, lift an unproductive PA, make a network optimization, all offered up as opportunities are identified—not waiting for quarterly meetings. Be proactive with your management, be proactive with your clients.

  • Imagine your biggest financial and clinical concerns. Now, imagine you can select those triggers and thresholds, and automated processes monitor your data in real time, alerting you whenever those triggers fire or thresholds are crossed. A new diabetic patient is identified. A high-dollar claim is submitted. A rejected claim threshold is crossed. And you know instantly, with a link right to the details.

  • Now imagine you’re a member embarking on your new benefit year: You have a new prescription and wonder what it costs. Access your member portal, with a quick and secure multi-factor verification log in. Your drug as prescribed is a brand so you’re worried about the cost, and when you look it up you see the price you’ll pay at the counter, accounting for your deductible and other accumulator statuses, as well as the price for the generic alternative—which makes you think about making a call to your doc about that.

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This integrated analytics environment allows you to make real time changes in RxAgile.  

 

Now that the data has been passed from adjudication through analytics, it's time to take action. Introducing our Operational Tool Set. 

The PBM Financial Operations Module in RxIQ is a groundbreaking set of tools for managing PBM financial operations and performance, leveraging automation and machine learning. These tools truly accelerate speed to market and business management for PBMs, and is also available to clients with your own network contracts (retail, mail and specialty). 

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What else would you like to learn about today? 

 

Who We Are

Learn more about our leadership and why we decided to build these platforms.

 

Transformative Model

Transparency, control, flexibility are all long over due. We got here as fast as we could.

 

RxAgile

Dig into more details about the claims adjudication engine that could.

 

Interoperability

This is table stakes for us. Find out just how well we do this.

 

RxIQ

Beyond reports, data, and analysis, find out what else RxIQ can do.

 

Service Model

We're here for you. In the way we wished our PBM was there for us and wasn't.

 

Business Accelerators

Whether you're new or been there, we've got an accelerator for you.

 

Careers

Join for the chance to do some seriously good work. (Ok, yes. We have cookies.)

 

Security & Continuity

We're rather proud of all the badges we've earned and the downtime we haven't had.


Press Center & Blog

People are taking notice and showering us with accolades.

 

Strategies

Our recommendations leverage automation and machine learning.

 

Contact Us

When you're ready to talk, we're ready to listen.