PowerLine is the most modern claims infrastructure available to connect pharmacies, payers, and pharma manufacturers. It goes beyond routing claims to activate crucial connections between prescription data and patient behavior.
PowerLine’s complete tech stack includes automated affordability, targeted messaging, gap-in-care insights, and real-time edits.
Add flexible tools like copay vouchers, eligibility checks, pre- and post-edits, and performance analytics to expand your capabilities
Inject copay assistance based on payer response and include your own patient messaging via SMS, receipt, app, etc.
Target and retain in-process patients with fill-reminder logic, copay nudges, and gap-in-care insights
Secure, centralized links certified by DirectTrust (formerly EHNAC) offer detailed adjudication, apply formulary rules, and calculate payments
Real-time verification of commercial and government insurance coverage to minimize rejected claims and the hassle of resubmissions
BIN hosting can support custom formulary lists to include covered drugs and specific pricing based on NDC
Services to help submit speedy and accurate claims, to update prices, prescribers, and other clinical information, and more
Paradigm-shifting data warehouse technology for smooth collection and transmission of vital healthcare data
Comprehensive metrics – single pharmacy, BIN specific, or platform-wide
A pharmacy claims switch is a telecommunications link that facilitates the electronic transmission of prescription claims from pharmacies to insurance payers, pharmacy benefit managers (PBMs), and other third-party payers. It acts as an intermediary to ensure that claims can be adjudicated.
PowerLine is built using the industry’s most advanced technology, an important safeguard against downtime and security risks. Its design allows for service recreation in minutes, if needed, and PowerLine will scale to any transaction volume automatically. The modern connectivity framework means partners can be activated rapidly. And importantly, PowerLine is not affiliated with PBMs or distributors; its customer support is second to none.
Pharmacy services providers may consider changing switch providers because of security concerns, to leverage newer technology, access better uptime rates, enhance their support services, or benefit from more advanced reporting and analytics. They may also want the strategic advantage of an additional, secondary switch to ensure business continuity.
When selecting a claims switch provider, consider factors such as:
Speed and Efficiency
Reliability and Uptime
Compliance and Security
Integration Capabilities
Responsive Support
Customization and Flexibility
Reputation and Track Record
Innovation and Technology