Prerequisite for all BPI modules. Provides framework for system security, integration, data management, business processes, business intelligence and reporting. Includes multi-lingual and currency capabilities.

Manages and administers the entire commercial Managed Care and Medicare Part D contract from claims to cash lifecycle.

Manages and controls entire contract lifecycle including proposal creation, pricing, chargebacks, rebates, admin fees, membership, workflow and compliance.

Manages rebate process including complex formulations, validations, corrections, calculations & payments. Formulates strategic programs maximizing market share and profitability while reducing payment errors and revenue leakage.

Manages entire tender process for procurement activities beginning with purchase requisition through contract award. Provides monitoring tools and metrics for successful strategies.

Facilitates setup, tracking and reporting of customer and trading partner commitments. Assesses compliance, provides recommendations leaving time for corrective actions.

Automates the planning, hierarchy, creation and execution of complex pricing. Leverages user defined rules to identify appropriate price based on pricing strategies.

Defines business processes, event interpretation and handling. Establishes workflow, approval routing, notification and escalation rules.

Manages unlimited customer identifiers and membership affiliations. Tracks membership eligibility and mobility.

Establishes accrual rates using historical or projected data by leveraging the forecasting engine’s algorithms and models. Provides “best fit” modeling and override capability with complete audit trail for historical comparisons.

Manages chargeback lifecycle, validations, error corrections, approvals, payments and adjustments.

Constructs formulas and algorithms that can be used in complex pricing and rebate calculations. Creation of unlimited variables, by defining data sources and processing rules, provides complete control and flexibility.

Manages numerous program fees ensuring membership eligibility, qualification and compliance. Ensures appropriate access to programs, products and pricing.

Performs “what-if” scenario modeling to formulate contracting strategies and financial forecasts. Analyzes revenue impact based on business decisions while evaluating risk assessment and compliance.

Manages all aspects of the gov’t pricing process from setting up GP methodologies to calculating, analyzing, and filing with gov’t agencies.

Manages and controls the set-up and maintenance of Medicaid & State programs, resubmission and dispute handling, payment processing & req’d CMS reporting.