Claims Processing

The fastest claims engine in the industry, processing claims in 2-6 seconds.

MultiCapâ„¢ is a must for high-volume pharmacies that need a fast and powerful way to process insurance claims. The module enables your pharmacy to batch process from up to 99 workstations in just seconds, making it the fastest and most efficient engine in the industry.

OPUS-ISM’s System offers robust reports that work in conjunction with MultiCap™ to provide you with essential information about claim status and cutbacks received.

Features:

  • Process claims from multiple workstations through a single modem or over the Internet
     
  • Virtually no limit to how many claims can be processed per day
     
  • Up to 99 consoles/workstations can process claims at once
     
  • Batch claims from multiple patients, doctors and carriers and send simultaneously
     
  • Background processing feature enables you to continue filling prescriptions while MultiCapâ„¢ is running
     
  • Detailed response screens aid and inform you of claim status

MultiCapâ„¢ and Reporting

OPUS-ISM’s Cutback Report
Enables you to set the cutback thresholds for brand and genetic drugs. If the cutback you receive from the insurance company is more than your threshold, the system will alert you.

OPUS-ISM’s Non-processed Electronic Claims Report
Lists rejected or non-adjudicated claims so that you can resolve them in the
necessary time frame.