About HEALTHPLAN DATA SOLUTIONS INC
Rivera provides continuous, real-time monitoring of 100% of pharmacy claims to recover overpayments and ensure negotiated PBM contracts are accurately reflected. They serve commercial and government health plans, employers, and channel partners.
Continuous monitoring of 100% of pharmacy claimsRecovery of overpayments and prevention of recurrenceVerification of negotiated PBM contract terms at the claim levelProprietary algorithms for claim analysisOversight dashboards, trend reporting, and executive-level visibility into pharmacy spendStrategic consulting from clinical pharmacists and industry experts
Teaming History
Prime contractors HEALTHPLAN DATA SOLUTIONS INC has worked under:
- Guidehouse Inc. — 4 subcontract(s)
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