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A solution ahead of its time
Universal PBM has been a critical part of the healthcare value chain for decades. We pioneered online real-time claims adjudication in the SA healthcare market and remained a leader in online real-time medicine claims adjudication using US patented technology.
As acknowledged pioneers in our field we were first-to-market with the following:
- Generic reference pricing
- Therapeutic reference pricing
- Over-the-counter (OTC) medicine benefit
- Online real-time (OLRT) claims adjudication
- Detailed application of medicine formularies and coding
- Chronic medicine management programme
- Concurrent DUR (patient safety rules)
- Performance-based reimbursement for additional savings on generic medicines
- The South African industry coding standard for medicines and surgical products, termed NAPPI codes
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