MedAccess® Claims Eligibility & Administration System
MedAccess allows you to manage member eligibility, benefit designs, prior authorizations, claims and appeals and patient case management in real time. MedAccess interfaces with our proprietary, real-time claims adjudication system.
MedOptimize® Reporting Tool
MedOptimize compiles the clinical information you need to quickly identify issues, spot trends and make strategic decisions about your drug plans. You can access pre-defined reports or design custom reports using thousands of data combinations.Log in to MedOptimize
MedResponse® Prior Authorization System
MedResponse provides comprehensive prior authorization (PA)/utilization management. Using an automated rules engine linked to your formulary, MedResponse will automate your therapeutic PA decision process.
Enterprise Formulary System
Enterprise Formulary System (EFS) provides a user-friendly, web-based tool to manage your formulary and utilization management programs in real time.
MedImpact Online Reports
MedImpact Online Reports (MOR) provide secure financial billing and operational data via the web.Log in to MOR
Prior Authorization Request Form
The Medication Request Form is submitted by participating physicians and providers to obtain coverage for formulary drugs requiring prior authorization (PA); non-formulary drugs for which there are no suitable alternatives available; and overrides of pharmacy management procedures such as step therapy, quantity limit or other editsView the Medication Request Form