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RxIQ Business Intelligence

AI powered analytics to manage your business

Your data – unleashed. Finally, get a comprehensive, 360-view into your business at any time. Imagine what you could do with this kind of insight at your fingertips.

How it works

All the power of RxIQ Business Intelligence is now available as a standalone platform.

Get to the operational, clinical, and financial heart of your business with unfettered access to your own data.

Set permissions and assign roles to ensure users see only what they need to see. This may include employees from different departments, as well as any of your downstream clients.

Monitor your plans with easy-to-read, drillable dashboards and reports, without an advanced degree or outside resources.

The health of your PBM business revealed

With RxIQ Business Intelligence, you have single view into all of your clinical, operational, and financial data across the breadth of your business.

 

Intuitive to use, easy to read, pre-configured dashboards and reports, tools for creating ad hoc reports are all designed for self service, on-demand insights.

Financial Module

Out of the Box Innovation

Have your own network contracts (retail, mail, specialty)? Need underwriting support? This exceptional value driver helps you manage and monitor contracts and guarantees, as well as provides fast repricing for RFPs with the Reprice Expediter.

Underwriting

  • Reprice Expediter

Business Rules Engine for Financials

  • Contracts

  • Financial Guarantee Tracker

  • Performance Management

  • Pharmacy-RxSense Guarantee Tracker

  • Pharmacy Network Performance

  • Surplus / Deficit Tracker

Pre-qualify Patient

Clinical Module

Improve Health Outcomes

Our Clinical Module provides the kind of analysis you need to improve health outcomes – from claims analysis to member segmentation to our newest advanced Medication Adherence dashboard that provides you the insights you need to plan member outreach.

Clinical Analytics

  • Controlled Substance Analysis

  • AWP Monitoring

  • High Dollar Claim Analysis

  • Member Segmentation

Advanced Clinical Dashboards

  • Medication Adherence Analysis

  • Therapeutic Trend Analysis

  • Therapeutic Alternatives Analysis (coming 2Q24)

Operations Module

Identify Spikes, Adapt Quickly

Drill down on any KPI, any time, for any period. Eliminate the need for armies of analysts. And address spikes in plan costs down to the claim level to quickly troubleshoot problems. Even your downstream clients can be given access to view and even download their own specific data.

Utilization

  • Executive Summary Analysis

  • Drug Group Trend Analysis

  • Pharmacy Channel Summary

  • Specialty Drug Analysis

  • Top N Reports

  • Member Demographics

Monitoring

  • Final Reject Summary

  • Implementation Monitoring

Want to see RxIQ Business Intelligence in action?