The Matrix claims processing system provides a flexible, cost effective and real time solution for drug benefit administration. The system receives, approves, and denies claims; creates payments to pharmacies and patients; and remits statements and explanation of benefits. This platform is fully integrated to administer and process claims. Specific functions include:
Matrix’s systems have a high level of flexibility due to the use of table-driven menus for plan administration which permit plan changes without computer programming or delays in implementation.
Matrix’s systems have industry-leading availability and claims processing integrity. Systems are available in excess of 99.9% of the time which leads to consistent service to Matrix’s network pharmacies.