PowerLine is the smartest claims infrastructure available to connect pharmacies, payers, and pharma manufacturers. Independent of PBMs and distributors, PowerLine’s modern tech stack includes everything you expect from a pharmacy switch—plus powerful extras.
Use it to activate better outcomes through intelligent use of claims data to support patient behavior.
PowerLine’s newer technology isn’t for show. It fuels infinite scaling, rapid feature adoption, and cost savings
Leverage eligibility checking, pre- and post-edits, customizable cash claim adjudication, BIN hosting, and data lake
Inject copay assistance based on payer response and include your own patient messaging via SMS, email, app, etc
Target patients during normal pharmacy workflow with PowerLine’s fill-reminder logic, copay nudges, and gap-in-care insights
Real-time verification of commercial and government insurance coverage to minimize rejected claims and the hassle of resubmissions
Maximize reimbursements with a dynamic rules engine targeting any combination of NCPDP fields to perform a host of actions
BIN hosting can support custom formulary lists to include covered drugs and specific pricing based on NDC
Fully customizable cash payer destination providing pharmacies greater control over patient copay pricing methodologies without the high negative reimbursement model
Advanced data warehouse technology for smooth collection and transmission of vital healthcare data (e.g., 340B, reconciliation, inventory)
Communicate about applied copay and other support using patients’ preferred contact method to drive engagement with the pharmacy
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
