We work with our clients to customize both the ‘big picture’ plan and the day-to-day details – to improve health outcomes while managing costs. Our claim management strategies work because we are our own Pharmacy Benefit Manager (PBM) and we:
Offer a comprehensive suite of plan design options
Maintain a long-term, strategic outlook
Follow a managed drug formulary approach
Manage an extensive health service provider network and registry
Control drug pricing with a national drug pricing policy and instant drug price updates
Innovate everywhere; this is our goal as we push technology in new directions to add value to all aspects of benefit planning and administration. Save time. Decreases costs. No hassles.
Unique rules-based, flexible claims adjudication system – which we designed and own
Sophisticated analysis and reporting
Online Services for plan members, plan advisors, plan sponsors and health service providers
Fraud prevention, detection and control system
Service with a smile - sound too good to be true? How about
'service with a smile plus all the knowledge needed to answer your
question?' This is precisely the case - we've got brains with
- On staff pharmacists, claims experts and fraud analysts
- Toll-free, national Customer Service Centre
- “First Call” resolution for plan member inquiries
And our clients really like us because we provide
highly predictable and consistently good service. That’s why our client
satisfaction numbers are so high.
Through our Strategic Alliance Program, we work with preferred partners – who compliment our services with their core competencies – to address the varying needs of today’s customers. With our Strategic Alliance partners, we leverage our joint resources to produce greater flexibility, choice and value for customers. Together, we create all-inclusive solutions to meet every need. We have a number of partners to assist in offering a full range of benefits and simplified administration, for products such as life and disability. Please contact one of our Strategic Alliance team members at 1.800.265.5615 for more information.