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Healthesystems is a specialty provider of innovative medical cost management solutions for the workers’ compensation industry. Our comprehensive products include a leading Pharmacy Benefit Management (PBM) Program, expert Clinical Review Services and a revolutionary Ancillary Benefits Management (ABM) solution for prospectively managing ancillary medical services.
Our Verticē Claims Information Portal delivers real-time pharmacy and ancillary benefit management program information, reports and tools. This intuitive web portal allows claims professionals to access tools to quickly and efficiently process provider transactions, run reports, retrieve relevant clinical information and many other functions.
By leveraging powerful technology, clinical expertise and enhanced workflow automation tools, Healthesystems provides clients with flexible programs to reduce the total cost of medical care and manage drug utilization, including the overuse of opioids and other problematic drugs, all while increasing the quality of care for injured workers.