ELIMINATE Rx Fraud from Workers Compensation Plans !

Adapted for the Worker's Compensation Market -- SMARTCOMP™, The Pharmacy SmartCard for Workers Compensation Plans will allow you to load the doctors name and the prescription medicines  related to the WC claim. The SmartComp™ Card can differentiate the charges related to the wc claim and those that are not and only pass through those claims that are related to the workers compensation plan.  The plan participant will still benefit from a discounted price on the other prescriptions. The Workers Compensation Plan will only be billed for the medicines prescribed by the worker's comp claim physician and for only those scripts normally associated with any particular rehabilitation process.  The formulary, benefit design, and reporting will satisfy all of your compliance needs!

Simplified Example:  Broken Arm at work - Prescriptions written - Pain Killer and Viagra.  The pain killer is adjudicated according to the filed Worker's Compensation plan design and PTI's Guidelines. The Viagra is filled at a discount with the plan participant paying 100%.  Both parties benefit and the worker's compensation plan only has to process the legitimate wc claim.

Key Benefits

  • Customized Formulary
  • Customized Benefit Design
  • Customized Administration
  • Flexibility to be State and Insurer Compliant
  • NCQA, URAC and JCAHO Protocols

Want to Know More? Call  410-526-9434

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Managed Care

Members

If you would like to find out if your favorite Pharmacy is part of our Network go to the SmartCard Network page and scroll thru our partial list, go to the Search page and type in the name of your favorite Pharmacy or call 1-800-546-5677 to inquire about a specific pharmacy !

Click Here If You Would Like Us to Audit Your Current Pharmacy Program

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