We Serve Pharmacy Benefit Managers

Unique Solutions, Unified Approach

Convey Health Solutions offers healthcare-specific technology and services that:

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Simplify and strengthen complex member relationships in the Medicare and Medicaid markets

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Provide a suite of administrative solutions that improve operational efficiencies

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Drive compliance and quality while meeting industry and regulatory demands

Founded in 2001

100+ Years of CMS Experience

Serving 19% of Medicare Advantage Lives

9 of the Top 10 Health Plans are Convey Clients

Discover how we serve the following sectors through comprehensive, end-to-end member management solutions:

Pharmacy Benefit Managers (PBM)

As Pharmacy Benefit Managers (PBM) take on the role of Plan Sponsor, they are often challenged to meet the needs of their clients with their existing technology and services. Today, Convey Health Solutions serves some of the leading PBM providers.

Convey offers these solutions either through Software as a Service (SaaS) or as an outsourced technology and call center service model.  With Convey as your partner, you can select from a variety of services and solutions in order to meet the demands of your clients and the market.

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Eligibility and Enrollment Processing

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Premium Billing and Payment Processing

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Document Management

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Customer Service

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Value Based & Payment Accuracy

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Agent / Broker Management

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Supplemental Benefits Administration

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Over-the-Counter Benefit Administration

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Appeals and Grievance Processing

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Expert Advisory

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Compliance and Oversight

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Membership and Financial Reconciliation

Questions?

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