Workers Comp Services
KapitalRx Pharmacy Benefit Management offers a full line of services for workers’ compensation programs.
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We make sure that every injured person gets the right prescribed medicine and devices at the right time and for the right duration from the first treatment through claim resolution or settlement.
From the services you need, to the systems you access and the information that drives decisions; we deliver a simple process, clear recommendations, and evidence-based guidance. We want to be your trusted partner and your solution to help you manage your workers’ comp and auto no-fault claims.
Pharmacy Care Services
We use clinical expertise, analytical tools and industry knowledge — combined with extensive experience processing millions of pharmacy transactions — to deliver proven solutions for cost containment and forecast industry direction. Our comprehensive solution addresses key challenges that drive pharmacy spend, network penetration, unit cost, utilization, administrative costs, compliance and service quality.
In our workers’ compensation services, we call on our full suite of pharmacy benefit management services, optimized for the specific needs of workers’ comp and no-fault patients. These services include:
Workers’ Comp Network Management
- National network with dedicated focus on workers’ compensation and auto no-fault maximizes network savings
- Providers covering all medical treatment services and products
- Strategic partnerships and programs to maximize network penetration and savings
Workers’ Comp Clinical Care Management
- Proprietary risk analytics applied to every claim to ensure appropriate utilization and eliminate unnecessary costs
- Interventions based on industry guidelines, regulatory rules, and evidence-based best practices
- A staff of specialized and dedicated cliniciansworking together for you
- Continued monitoring for compliance and effectiveness
Workers’ Comp Client Support and Tools
The KapitalRX workers’ comp solution works within the client’s existing workflows to streamline training, identify emerging risk, support faster claim closure and provide real-time insights and reporting when the information is needed the most.
- The industry’s largest source of data and analytic capabilities
- Dedicated team of claim management experts at KapitalRx to assist with all facets of your injured worker’s needs
- Leading-edge portals and internal systems with the focus of ease-of-use and access to information
- Many program configuration options to address your specific goals