ScriptMed Coverage Helper

Coverage Helper is a cloud based solution to provide multiple tools to support the insurance verification process, from the initial coverage discover and dispense through the re-verification for refills. The Coverage Helper leverages the best of breed offerings for the various services and allows a client to select which services to use for their particular business needs.

  • Features
  • Eligibility

    A key to initiating a benefit investigation is to ensure that all coverage is known. To facilitate the discovery of coverage, Coverage Helper supports a call to external eligibility data sources to assist with the identification of insurance coverage.

  • EBI (Electronic Benefits Investigation)

    Once insurance eligibility is determined, an electronic benefit investigation request can be initiated so that detailed coverage information can be reviewed. An EBI can take the place of test claim when test claims are not available for use.

  • Prior Authorizations

    Prior authorizations are required for almost all claims and require a significant allotment of time from pharmacies and prescribers. Automating the completion and selection of the form, as well supporting the ePA process, will expedite the completion of the PA and ultimately, the dispense of the medication.

  • Test Claims in the Cloud

    The test claim in the cloud concept will allow the Coverage Helper to create an actual test claim utilizing data provided to the cloud.

creehan & company Corporation
An Inovalon Company
8 Grandview Circle
Canonsburg, PA 15317