BPO Services

WHAT DO YOU WANT TO DO?

Get in touch with us:

Offerings

Pharmacy Contract and Revenue Management

Industry-specific offerings: Master Data Management | Lean Store Outsourcing | Pharmacy Contract and Revenue Management

Infosys BPO's Pharmacy Contract and Revenue Management (PCRM) solution measures compliance of actual payments received against contractual obligations with third-party payers (PBMs). The solution verifies third-party claim reimbursements, highlights short/over payments and provides insights into plan profitability or utilization.

This solution is based on Infosys BPO's consulting, system development/ integration expertise and domain knowledge of the retail pharmacy business.

The PCRM solution addresses business challenges and measures the compliance of actual payments received against contractual obligations with third party Pharmacy Benefits Managers (PBMs).

Key capabilities

Contract management and analysis
Configurable business rules
Insightful business intelligence

Benefits

Plugs revenue leakage by identifying short-payments
Prevents future liabilities by identifying over-payments and netting them off against short-payments
Increased ability for real-time analytics on claim reimbursement patterns
Monitors metrics - plan, payer-performance (including profitability) and utilization - leading to insightful information for negotiating and renewing contracts

Back to Retail offerings

Learn more about Master Data Management

Related Information