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Pharmacy Benefit Managers

Deliver Insight, Compliance, and Action

Payers rely on your pharmacy expertise to help them deliver high quality care at the lowest cost. Improve your partnership with payers with MedHOK’s software platform that holistically manages critical aspects of the pharmacy function.

MedHOK’s designed workflows ensures cases are processed consistently and correspondence is triggered automatically in accordance with state and federal regulations. Our dashboards allow for real-time monitoring of activity and promotes a proactive approach to case load and compliance deadlines. Out-of-the-box compliant with Medicare, Medicaid, and Exchange, MedHOK integrates all member pharmacy and medical transactions in one system, allowing for actionable interactions leading to better outcomes

CMS-compliant Prior Authorization

CMS-compliant Prior Authorization

Automated workflows with based on industry best practices and built-in compliance regulations ensure CMS compliance.

Process and Track CMS Medicare Complaints

Process and Track CMS Medicare Complaints

Member satisfaction is improved with a system that allows you to easily process and track Medicare complaints.

Help Payers Improve Star Ratings

Help Payers Improve Star Ratings

MedHOK enables PBMs to operate patient-specific clinical programs that improve patient adherence and clinical outcomes.

“MedHOK has given us a unique edge in the marketplace where we can show our clients how our clinical programs are improving patient outcomes. This puts us at the forefront of value-based healthcare.”

Chief Medical Officer, PBM

Ready to See MedHOK in Action?

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