Managing the pharmacy benefit is complicated. With so many moving pieces, it’s easy for details to get overlooked in complicated PBM contracts.
Changes in plan design and switching PBMs are just two examples where issues may be indicative of larger contract errors. Now there’s a solution to uncover these kinds of errors and get your pharmacy benefit back on track.
TruAudit uses a proprietary system to readjudicate 100% of your pharmacy claims
according to your specific contract guarantees.
Through 32 unique audits, TruAudit validates the accuracy of your contract’s financials, rebates, benefit design, clinical edits, and EWGP compliance.
Track the financial impact of plan design errors and identify areas for improvement.
Validate clinical exclusions, prior authorizations, quantity limits, and step therapy edits.
Confirm the accuracy of drug costs and dispensing fees, allowing you to observe financial trends and call-out claims inaccuracies.
Validate the accuracy of manufacturer rebates, looking to see if the correct rebate rates were applied and that rebates were invoiced for all eligible claims.
Review group waiver plan details to validate admin fees, subsidies, discounts, and reinsurance.
|New Features of TruBid Express Premium|
Pre-Negotiated Deals: Pre-Negotiated PBM offers pre-loaded onto our platform
Performance Report Card: Re-adjudicate every claim to ensure your clients and their members are being billed accurately and are getting all the contracted discounts
Designated Account Manager: A designated account manager will be available to provide support through email or phone
|New Features in 2018||
Full Service: Truveris pharmacy benefit experts run quotes for you in the TruBid Express system, saving you the time and effort of uploading claims and running reports
Incumbent Check: We get offers from your clients' incumbent PBM even if it is not on our platform
Results Presentation: We present and clarify our results so you are confident you're choosing the best PBM
Contract Compare: Comparison of pricing and key terms between the contract and the quote for consistency
Plan Design Support: We discuss improvements to plan design for lower plan costs while minimizing member disruption
Implementation Support: We review your implementation checklist and address questions during the implementation process
PBM Meetings: We attend annual dial-in meetings with your client's PBM