Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
CareCost Estimate provides a solution for infusion centers and specialized medical practices to address a common patient query: what will the treatment cost?
By selecting the medication, dosage, and insurance details, staff can utilize CareCost to swiftly determine the patient's out-of-pocket expense, typically within a 90-second timeframe. This calculation considers various factors such as Medicare Part B coinsurance, any applicable secondary insurance, Medigap, weight-based dosing, and potential vial waste (JW/JZ). Furthermore, it incorporates any manufacturer copay assistance programs and foundation grants the patient may be eligible for, ensuring that the figure presented reflects the actual financial responsibility of the patient.
In addition to cost estimates, the platform provides insights into the prerequisites set by payers, including necessary prior authorizations, step therapy protocols, and site-of-care stipulations, all directly sourced from the payer's policy along with relevant links for reference.
The pricing information is derived from the CMS Average Sales Price files, which are refreshed quarterly, and since the estimates are processed directly in the browser, patient data remains secure and does not get transmitted to external servers.
Moreover, CareCost also offers complimentary resources related to billing and coding, including infusion CPT codes, J-codes, and modifiers, along with a quarterly Infusion Reimbursement Index to assist healthcare providers further.
Description
ScriptMed's specialty pharmacy management software stands out as a frontrunner in the industry, catering to seven of the top ten specialty pharmacy companies in the U.S. It leverages the most extensive dataset available to automatically fill in essential, patient-specific data, which not only speeds up the medication fulfillment process but also enhances the overall quality of care provided. By offering efficient and automated processing throughout the specialty and infusion pharmacy spectrum, it can reduce service costs by as much as 17%. Furthermore, it significantly shortens the time and expenses associated with filling prescriptions through real-time healthcare connectivity, sophisticated analytics, and automation. The software facilitates interventions and outreach efforts by providing immediate insights into various aspects, including patients, prescribers, payers, and medications. Additionally, it features synchronized medical claims processing, allowing multiple steps to occur simultaneously, which greatly expedites the medical billing process. This innovative approach not only transforms operations but also ensures that pharmacies can achieve unparalleled connectivity, functionality, and financial gains in the competitive specialty pharmacy sector. As a result, healthcare providers are better equipped to address patient needs efficiently and effectively.
API Access
Has API
No
API Access
Has API
Yes
Screenshots View All
No images available
Integrations
DataStream
No
Inovalon ONE Platform
No
Inovalon Pharmacy Cloud
No
Integrations
DataStream
Yes
Inovalon ONE Platform
Yes
Inovalon Pharmacy Cloud
Yes
Pricing Details
$189/month (first seat), $89/m
Free Trial
Yes
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
CareCost
Founded
2026
Country
United States
Website
carecostestimate.com
Vendor Details
Company Name
Inovalon
Country
United States
Website
www.inovalon.com/products/pharmacy-cloud/scriptmed-specialty/
Product Features
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
No
Patient Eligibility Checks
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No
Product Features
Pharmacy
Automatic Refills
No
Barcode Generation
No
Claims Management
No
Compounding
No
E-Prescribing
No
Electronic Signature
No
Forms Management
No
Insurance Processing
No
Inventory Management
No
Multi-Store Management
No
Online Refills
No
Pill Database
No
Pill Imaging
No
Point of Sale (POS)
No
Prescription Processing
No
Rx Image Scanning
No
Signature Capture
No
Alternatives
No Alternatives