Greg Buscetto, vice president, business development, stated: We will not be a PDP, but merely support our partners with the best technical, business and clinical solutions available in the market today.
ProCare Rx said it will provide support to large MCOs, insurance companies and other business partners by attempting to offer improved systems and services.
These include fulfilling claims processing of the different allowable benefits, beneficiary True-Out-of-Pocket expenses (TrOOP) tracking, and Dual Eligibles coordination. Other services include real-time Low Income Subsidy (LIS) reimbursement tracking, all reporting requirements, M qualifying Population Health Management programs and other current and future CMS requirements.
