Trexin helped a large pharmacy benefit manager prepare for the replacement of its claims adjudication system
Trexin helped a large pharmacy benefit manager prepare for the replacement of its claims adjudication system
1 PagesTREXIN CASE STUDY © TREXIN CONSULTING, LLC CONTACT US Healthcare Practice hc@trexin.com www.trexin.com SUPPORTING THE EXTENDED GROWTH OF A PBM Trexin helped a large pharmacy benefit manager prepare for the replacement of its claims adjudication system. BUSINESS DRIVER Our Client recognized that they had an aging claims processing platform that was increasingly incapable of supporting their expanding number of customers and membership due to three primary factors: 1) scaling limitations, 2) aging technology risks, and 3) capability uplift constraints. To meet their 5-year growth trajectory, they decided to launch a strategic initiative to modernize their claims adjudication system to ensure their growth strategy was fully supported by their core claims ecosystem. Because
