correcting the Issue
correcting the Issue

Customer Mid-Year Pharmacy Benefit Manager (PBM) Change

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  • 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.
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