The TransactRx Cross Benefit Clearinghouse was developed to solve the new technology challenges created as medical benefit and pharmacy benefit covered services start to overlap with Medical Providers needing to be reimbursed under Pharmacy Benefits and Pharmacy Providers needing to be reimbursed under Medical Benefits. The Cross Benefit Clearinghouse provides a transaction platform that seamlessly integrates the X12 batch and real time medical claims infrastructure, the NCPDP real time pharmacy claims infrastructure and the HL7 batch and real time clinical data interconnectivity infrastructure.
The Cross Benefit Clearinghouse was developed from the ground up as a cloud based platform using all of the very latest technologies on the Amazon AWS environment. The micro-service based architecture is deployed as redundant clusters across multiple data centers ensuring 100% uptime. The use of dynamically provisioned server instances allows for extreme scalability. The platform has been tested at sustained processing speeds of over 1,000 transactions per second.
The Cross Benefit Clearinghouse services are made available to any Healthcare Provider through a set of web based application services or to any Software Developer or Healthcare System Provider through a broad set of standards based transaction interfaces or REST API’s. Any system can be enabled and extended to use the Cross Benefit Clearinghouse services with very little development effort.
The Cross Benefit Clearinghouse transactions include:
The platform also supports Population Health Management initiatives offering:
Additionally the platform supports Payers in their Medical Drug Rebate processing: