Clinical Care and
Cost Management for
We know how hard it is for a plan sponsor to find quality care management for specialty prescriptions. Let us help you by discovering your company’s unique needs and researching the market for the best possible care.
Our promise to you
How we do it
High-Touch Care Management
Our team has decades of experience in specialty pharmacy, home infusion, and employee benefits management. We understand the unique needs of the specialty patient, as well as how important it is to manage those complex conditions effectively. This helps you save money on benefits and your employees maintain their clinical treatment plan.
Our Care Coordinators are at the heart of our operation and work directly with members, plan sponsors, and any other vendors as required to complete program enrollment.
We also maintain the prior authorization process to ensure appropriate clinical care. As a result, members are not disrupted and always receive their medications. There is no interruption in supply, no requirements to change brands or dosing, the only difference is the source of the medication, and of course the reduced cost.
As a result, we’re able to effectively enroll members into programs at a very high rate.
All data is stored on our proprietary system, Velocity. Velocity uses secure servers backed by Amazon Web Services (AWS) with additional security built in. Velocity has undergone security audits and is constantly being upgraded to keep up with the latest security features.
Patient centered clinical management
Where pharmacogenetic testing is used to assess how a patient’s genome impacts drug efficacy and dosing. Pharmacogenetics can help patients save money on expensive medications while improving the effectiveness of those medications.
Pharmacy Claims Auditing
Our comprehensive pharmacy claims auditing services allow for continuous monitoring of PBM compliance, pricing, and contract adherence, in-depth analysis of medication utilization, identification and prevention of fraud, waste, and abuse in pharmacy claims, and improved decision-making through customizable client-specific dashboards.
Frequently asked questions
Is my electronic data transmitted securely?
Is my electronic data transmitted securely?Yes! We take the security of our patient information very seriously. Payer Matrix partners with Paubox© a HITRUST certified vendor, to provide you with a secure email service. All email is encrypted in transit and our...
How will I receive information from Payer Matrix?
How will I receive information from Payer Matrix?We prefer to send information to members via overnight mailing, as the forms often contain PHI and require signatures. We will also provide a prepaid label for any return documents. Upon request, we will email members...
Can I request a copy of my information?
Can I request a copy of my information?Yes, you can email firstname.lastname@example.org to request a copy of your records.Related questions
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Are you ready to get the care you deserve? With PayerMatrix on-demand, we’re here when you are.