Pharmacy claim adjudication is a complicated process. No matter how much you trust your PBM is doing it right - CMS says you have to oversee that they are. With many plans strapped for the resources to do that effectively, it can often slip through the cracks. Reveal can help with that.
We take CMS Best Practices and visualize them so that they can be easily understood. Additionally, you can see how much work your team is doing to reduce your risk of audit findings.
- Formulary adherence
- Utilization management
- Opioid use
- Customizable measurements specific to your plan
Results of these reports can be exported and given to your compliance team, or they can view them directly from Reveal.