Technology

MC-Rx’s IT department has developed a unique technology platform to effectively handle all clients’ requirements. It integrates business intelligence applications, agile processes, proven methodologies, a robust infrastructure, and first-class services.

  • Technology Services

    • Claims processing and adjudication services powered by a proprietary, state-of-the-art claims processing platform 
    • Real-time accumulator tracking
    • Automated True Out-of-Pocket (TrOOP) balance transfers
    • Coordination of Benefits
    • Eligibility processing
    • Prior Authorization system
    • e.Prescribing
    • e.PA Services
    • Online reporting systems
    • Healthcare analytics platform
    • PDE Management Program
    • CMS Data Management Program
    • Population Health Management platform

  • Technology Support Tools

    • Web-based, online, real-time plan, pharmacy, physician, and member management application for clients 
    • Web-based Member Portal
    • Manufacturer Rebate Management System
    • Web-based Pharmacy Support Center Application 
    • PBM Applications Suite

  • Our Systems Support the Following Plan Types

    • Commercial
    • Self-Insured Employers
    • Medicare Part D
    • Medicare Part C
    • Medicare Part B
    • Workers Comp Plans 
    • Medicaid Programs
    • Government Employees
    • Unions
    • 340B Plans
    • Coupon & COB Programs
    • Patient Assistance Programs
    • Reimbursement HUB Services

  • Website & Mobile Applications

    At MC-Rx, we develop and implement tailor-made web and mobile applications to provide support and information and to respond and solve member needs and inquiries.


    Among the capabilities we can provide are:


    • Customized Member Portal website
    • Smartphone app for members
    • Seamless integration with clients’ web and mobile platforms

  • Technical Capabilities

    • Network pharmacy locator
    • Formulary lookup
    • Copay lookup
    • Drug monographs
    • Therapeutic alternatives lookup
    • Create and review health-related contacts (pharmacies, physicians) 
    • Review medication history  

    Additional capabilities can be designed and implemented upon request.

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