Customer Mid-Year Pharmacy Benefit Manager (PBM) Change
- 240,000+ Members
- Group elected to change PBMs with a 3-month deadline.
- Back-filled new PBM’s environment with 2017 medical and Rx claims history.
- Production go-live data from PBM did not meet eligibility requirements. AccumTech immediately altered the processing method, correcting the issue with no member impact.
- PBM was not accepting data for termed members. AccumTech altered the delivery process, allowing the historical data to post in the PBM’s system resulting in no member impact.
- PBM and Medical vendor both used native formats with no system changes.