Smarter PBM Decisions. Faster Approvals.

Real-time PBM, MCC & CC insights that reduce denials and maximize reimbursement.

Clinical Coding Challenges — Solved

How our system improves PBM decisions & clinical outcomes

Automatic PBM mapping based on diagnoses and MCC/CC rules

Evidence-based justification to support payer approvals

Instant clinical & documentation guidance for faster decisions

See how our system alerts you about potential harmful drug interactions.

Examples of PBM recommendations and improved decision-making

Patient with pneumonia and renal failure:

PBM Assigned: 193 - Simple Pneumonia & MCC

Patient with HIV and multiple infections:

PBM Assigned: 488 - HIV w/ MCC

Patient with heart failure and comorbidities:

PBM Assigned: 291 - Heart Failure & MCC

Select the right PBM with confidence, backed by clinical logic and payer rules.