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PBM

Overview

Our state-of-the-art healthcare PBM solutions and good x testing practices frameworks are revolutionizing the industry by combining advanced technology, robust analytics, and seamless integration to optimize medication management, drive cost savings, and deliver unparalleled member experiences. With advanced prescription processing, real-time analytics, claims adjudication, intelligent formulary management, and member engagement tools, Sonata Software equips you with the competitive edge to transform your PBM operations.       

PBM
OFFERINGS

World Class Service Offerings for PBM

  • Comprehensive Modernization & Transformation

    Comprehensive Modernization & Transformation

    Combine end-to-end modernization of processes, technologies, and systems with the digital pharmacy platform, enabling collaborative operations among PBMs, pharmacists, and healthcare providers, all underpinned by advanced IT testing solutions. 
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    Combine end-to-end modernization of processes, technologies, and systems with the digital pharmacy platform, enabling collaborative operations among PBMs, pharmacists, and healthcare providers, all underpinned by advanced IT testing solutions.

  • Operational Excellence with Advanced Analytics

    Operational Excellence with Advanced Analytics

    Integrate automated benefits plan management, seamless adaptation, insightful data analytics, and reporting. This combines automation capabilities with the power of analytics, enabling PBMs to gain deep insights into operations and member trends. 
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    Integrate automated benefits plan management, seamless adaptation, insightful data analytics, and reporting. This combines automation capabilities with the power of analytics, enabling PBMs to gain deep insights into operations and member trends.

  • Focused Testing Solutions

    Focused Testing Solutions

    A range of testing services, from functional to user experience, ensuring solutions meet the highest standards and offer an optimal user experience. 
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    A range of testing services, from functional to user experience, ensure solutions meet the highest standards and offer an optimal user experience.

    • Seamless Adaptation: Ensure smooth adjustment to real-time changes in benefit plans for a holistic view of patient data and better decision-making.
    • Accurate Configuration: A meticulous setup and validation process tailored to meet specific requirements.
    • Efficient Client Acceptance: Streamlined processes for reviewing and approving changes, reducing the time taken for implementations.
  • Advanced Claims Adjudication

    Advanced Claims Adjudication

    An industry-leading real-time claims processing and validation system, leveraging the latest technologies for increased accuracy and faster turnaround times. 
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    An industry-leading real-time claims processing and validation system, leveraging the latest technologies for increased accuracy and faster turnaround times.

  • Focused Health Plan & PBM Solutions

    Focused Health Plan & PBM Solutions

    Fast-track health plan onboarding, comprehensive PBM management, and rules-based test automation. This ensures swift, efficient, and comprehensive management of health plans and PBM transitions.
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    Fast-track health plan onboarding, comprehensive PBM management, and rules-based test automation. This ensures swift, efficient, and comprehensive management of health plans and PBM transitions.

  • Safety, Drug Utilization, & Clinical Oversight

    Safety, Drug Utilization, & Clinical Oversight

    Merging drug utilization reviews with clinical outreach retargeting to ensure safe medication practices, detect potential errors, and leverage analytics for improved communication outcomes based on prior interactions.
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    Merging drug utilization reviews with clinical outreach retargeting to ensure safe medication practices, detect potential errors, and leverage analytics for improved communication outcomes based on prior interactions.

  • Member-Centric Engagements & Health AnalyticsMember-Centric Engagements & Health Analytics

    Member-Centric Engagements & Health Analytics

    Combine tools like mobile apps, chatbots, messaging programs, and predictive modeling to foster better medication adherence, and early risk identification, and tailor interventions for optimal health outcomes.
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    Combine tools like mobile apps, chatbots, messaging programs, and predictive modeling to foster better medication adherence, and early risk identification, and tailor interventions for optimal health outcomes.

  • Network & Provider Management with Transparency

    Network & Provider Management with Transparency

    Integrate network transparency, provider data precision, and pharmacy network management, empowering PBMs with transparency, accuracy, and better negotiation capabilities.
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    Integrate network transparency, provider data precision, and pharmacy network management, empowering PBMs with transparency, accuracy, and better negotiation capabilities.

  • Service Efficiency, Continuity, & Process Optimization

    Service Efficiency, Continuity, & Process Optimization

    Combine services ensuring uninterrupted operation, efficiency in technology, change management, process improvements, and streamlined client acceptance processes to ensure smooth implementations.
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    Combine services ensuring uninterrupted operation, efficiency in technology, change management, process improvements, and streamlined client acceptance processes to ensure smooth implementations.

  • Customized & Collaborative Solutions

    Customized & Collaborative Solutions

    Emphasize partnership-centric approaches, accurate configuration, and tailored solutions to meet unique business challenges, from the benefit plan configuration to final implementation.
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    Emphasize partnership-centric approaches, accurate configuration, and tailored solutions to meet unique business challenges, from the benefit plan configuration to final implementation.

Compliance

Sonata Software offers Next-gen healthcare solutions tailored for Pharmacy Benefit Management (PBM) organizations, addressing compliance challenges while ensuring streamlined operations. Their proprietary data privacy solution and customizable tools enable PBMs to navigate complex regulatory requirements seamlessly. With a strategic partnership for comprehensive compliance and a commitment to cost-effective solutions, Sonata Software empowers PBMs to deliver exceptional member experiences and drive business growth.

PBM Compliance