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 Cloud-Based, 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.