FLORHAM PARK, N.J., April 17, 2017 /PRNewswire/ -- Conduent Incorporated (NYSE: CNDT) an industry leading business
process services company, today announced its Pharmacy Benefit
Management (PBM) module, Conduent™ Flexible Rx System, has received federal certification in the state of Montana. This is the first instance of federal certification for Flexible Rx and the first time that
certification has been granted to an individual Medicaid management module.
Flexible Rx is a comprehensive Pharmacy Benefit Management system, built on a web-based platform. It was designed to help
states improve care while controlling costs. Its agile design can easily plug into modular frameworks or work in conjunction with
existing legacy platforms. Flexible Rx enables states to quickly adapt to changes in federal regulations and updates to state
policy.
The system provides:
- Pharmacy Claims Processing: Flexible Rx streamlines the claims adjudication process through the electronic
submission, transmission, and payment of prescription information for Medicaid, federal and commercial clients.
- Prospective Drug Utilization Review (ProDUR): To promote positive outcomes, Flexible Rx evaluates claims against
comprehensive ProDUR edits (including drug-drug interactions, therapeutic duplication, and incorrect dosage) which promotes
prescribing compliance with evidence-based criteria. Our solution instantly alerts providers to potentially adverse
interactions, ensuring members receive the safest and most cost-effective therapies.
- Automated Prior Authorization processing: Combined with the Conduent™ SmartPA Pharmacy Application, Flexible Rx
automates up to 90 percent of claims requiring prior authorization. This expedites medication dispensing and reduces the
administrative burden on providers while reducing costs.
In 2016, the Centers for Medicare & Medicaid Services
(CMS) developed a process for vendors to obtain modular certification. The certification was granted based on a complete virtual
review of the systems capabilities – a first for CMS – and the latest federal checklists for modular solutions in the Medicaid
Enterprise Certification Toolkit.
"CMS' certification of Flexible Rx provides validation that a modular approach to these systems can work," said David Hamilton, general manager, Government Healthcare Solutions, Conduent. "As a precedent, the certification
will enable us to speed the process in other states."
Flexible Rx is being used in Montana to support the state's growing Medicaid population, which has added over 75,000 members since Medicaid Expansion
took effect on January 1, 2016. Since its go-live date, Flexible Rx has processed millions of
dollars in claims for the state.
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About Conduent
Conduent is a leading provider of diversified business process services with leading capabilities in transaction
processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting
them to deliver quality services to the people they serve.
We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the
customer interface for large segments of the technology industry and the operational and processing partner of choice for public
transportation systems around the world.
Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed
learning – Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn
more at www.conduent.com.
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Conduent is a trademark of Conduent Incorporated in the United States and/or other
countries.
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SOURCE Conduent Incorporated