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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

Screenshots View All

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

Alternatives

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