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Cloud-based, secure, scalable adjudication
—with no downtime?

 

Makes Sense

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When your claims adjudication engine works, that's great.

When it can also create efficiencies while helping you manage your business, that's RxAgile. 

Real Time

Access real-time claims data in RxAgile and analysis through RxIQ, it's integrated analytics environment

Efficient 

With RxAgile you not only gain efficiency in administration but also a lower cost position, greater accuracy and faster speed to market

Cloud-based

Runs in the cloud which provides immediate speed, scale and efficiency

Secure

Risk-based, multi-layered security approach throughout the environment

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

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. 
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A Stable, Secure Platform 


Our commitment to security and business continuity means we maintain the highest standards and certifications.

  • 100% cloud-based with the leading cloud provider, offering cutting-edge security, scalability and flexibility

  • Auto-scalable, with full redundancy and unlimited capacity across multiple zones and locations

  • Comprehensive traffic logging for forensic analysis / audit

  • No unscheduled downtime—really (true since 2020)

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What does advanced technology feel like?

Configuration Innovation

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.

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It's not just about adjudication. 

The analysis is operationally critical.

RxAgile has an analytics environment built in: RxIQ. Dashboards and custom reports help you analyze your plans, and deliver information to your clients.


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. More than that, it provides our clients the ability to manage their plans in real time. With RxIQ, you know sooner, can course-correct faster, and more quickly optimize your plans.

 

Scheduled, standardized reports can be delivered daily or monthly or can be retrieved on demand. RxIQ also enables clients to private-label and configure reports for their downstream clients to view/retrieve in their own “news stand” environment. Reports may also be scheduled for delivery.

Did we say it sit's right within RxAgile? 

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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.