Cabernet™ Responds:

• Electronic transmission of prescription to pharmacy
• Processed prior authorizations and claims with EOB/EOP sent to providers
• Replication mechanism whereby all business and clinical data is duplicated at all of the originating and the referral provider's satellite offices

Competitive Advantages for Health Plan

• Eliminates time spent faxing or telephoning provider's office with results of authorization/referrals
• Eradicates paper from the Claim/EOB/EOP process
• Generates standardized claim reimbursement based on CPT, RBRVS, and GPCI criteria

Competitive Advantages for Provider

• Increases efficiency of provider workflow when approving pharmaceutical refills
• Streamlines receipt, follow up, and recording of prior authorization/referrals
• Refines claim/EOB/EOP reconciliation process

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