Medical and Pharmacy Benefits Management Application


GxCare™ is an automated benefits plan management system for benefit intake, modeling and cataloging that provides clients simplified benefits access for easier benefits maintenance and complete traceability. Automated benefit certification and benefit reuse are just some of the advantages that will drive increased operations efficiency, accuracy and enhanced speed to market. Designed to be scalable and flexible with rules-driven translations and benefit loading, GxCare™ traceability means you are always audit-ready.

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increase in efficiency through the use of automation

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reduction in errors, decreasing performance penalties

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reduction in production errors

Globally Implemented at Fortune 20 Organizations

  • Complete codebase for RxClaim and variants, and those of other top PBMs
  • Documentation: process handbook, training material, marketing collateral engagement and deployment model
  • Record type library & maps into specific adjudication engine
  • Record type repository and dictionary (>400 record types)
  • Modeling using historical claims (using GxClaims)
  • Complete codebase for RxClaim and variants, and those of other top PBMs
  • Documentation: process handbook, training material, marketing collateral, engagement and deployment model
  • Record type library & maps into specific adjudication engines
  • Involves our client in their clients product development
  • Documentation: process handbook, training material, marketing collateral, engagement, and deployment model
  • Record type library & maps into specific adjudication engines
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Finance How End-to-End Management Can Benefit Your Business Managing benefit plans is time-consuming and subject to human error, which can affect performance and regulatory compliance. A firm alignment between business and IT leads to efficient benefits plan management. READ MORE
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GxClaims Diagram Work smarter with an integrated benefits management system Managing benefit plans is time-consuming and subject to human error, which can affect performance and regulatory compliance. A firm alignment between business and IT leads to efficient benefits plan management. READ MORE
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GxClaims - Benefit Load Certification, Claims Generation and Claims Testing GxClaims™ Brochure GxClaims™ is a demographic and clinical selection, benefit plan certification, claim adjudication analysis, and integrated defect tracking process designed to validate claims processing behavior and increase efficiency in identifying root cause for unexpected claims adjudication outcomes. READ MORE
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GalaxE Product Suite Welcome to the GalaxE A brief introduction to our services and Gx products. Our offerings give the insight you need to recognize, prepare and deploy your data and transform your business for competitive advantage in the future. READ MORE
Finance How End-to-End Management Can Benefit Your Business Managing benefit plans is time-consuming and subject to human error, which can affect performance and regulatory compliance. A firm alignment between business and IT leads to efficient benefits plan management. READ MORE
GxClaims Diagram Work smarter with an integrated benefits management system Managing benefit plans is time-consuming and subject to human error, which can affect performance and regulatory compliance. A firm alignment between business and IT leads to efficient benefits plan management. READ MORE

Extending the Power of the Adjudication System