Get claims-level visibility with PCM.

Monitor, enrich, and store plan data all in one data support platform. Plus, get actionable pharmacy and medical insights to validate plan costs.

Analytics page header

WHY PCM?

Claims-level plan and BOB detail at your fingertips. Organized to optimize benefit management, so you can see cost drivers, utilization, and engagement in a click.

Support Solutions

  • Data Enrichment
  • Pharmacy Analytics
  • Medical Insights
  • File Management

Rx Analytics

You don’t need more pharmacy claims data, you need better data intelligence. PCM provides cost-containment through deeper claims visibility, including actionable insights into:

  • Plan Eligibility
  • Low-Value Drugs
  • DAW Review
  • Fraud, Waste, and Abuse
  • Clinical Review​
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Claims-Level Plan Management

PCM’s data support platform simplifies plan management by putting data to work. Load your plan data, and our automated system does the rest: no more spreadsheets, no more tedious analysis, just streamlined, transparent plan data. 

Analytics Pharm Ana Aggregate

Aggregate

View data across vendors and groups for a global plan view of:

  • Participant utilization
  • Provider analysis
  • Drug spend
Analytics Pharm Ana Analyze

Analyze

Explore plan-specific insights to see where Rx dollars are going:​

  • Low-Value Drugs
  • DAW Review
  • Fraud, Waste, & Abuse
Analytics Pharm Ana Act

Act

Manage and validate supplemental bolt-on programs:

  • Customer Reporting
  • Rx Savings
  • Contract Validation

Rx Analytics Built for You

Partner Home Broker

Benefit Brokers

  • Global Data View
  • Report Builder
  • Contract Validation
  • Rebate Management
Partners Page Plan Sponsor 1

Plan Sponsor

  • Rebate Management
  • Prior Auth Review
  • Turnkey Solutions
  • Actionable Insights
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TPAs

  • BOB & Detail Views
  • File Management
  • Report Builder
  • Contract Validation
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Consultants

  • Report Builder
  • Contract Validation
  • Market Check
  • Drug Search

See how PCM simplifies Rx analytics.

Medical Analytics

Aggregate diagnosis, procedure, provider, and participant data in the PCM platform for actionable medical insights into:

  • J Codes
  • Chronic Care Conditions
  • Percent of Medicare
  • Facility Utilization
  • Participant Spend​
3

Transparent Claim Detail

With PCM’s medical analytics, you can make data-driven decisions based on transparent diagnosis, procedure, provider, and hospital information. No more relying on vendor reports full of hidden fees and adjusted claims.

Analytics Med Ana Validate PMPM Spend

Validate PMPM Spend

Explore plan-specific insights to where your medical dollars are going.

Analytics Med Ana Analyze medical pharmacy

Analyze Medical Pharmacy

Review J Codes and aggregated amounts for a global view of pharmacy spend

Analytics Med Ana Optimize plan design

Optimize Plan Design

Build a medical plan validated with claims-level detail.

Get complete data transparency to drive global plan decisions.

File Management

Track thousands of claims files, validating data integrity and managing dependencies in one platform. 

  • Aggregate vendor data
  • Autoload claims and eligibility files
  • Securely transmit files
  • Warehouse group and BOB data
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Data Warehouse

Create a single source of truth for pharmacy and medical claims and eligibility files.

  • Multi-vendor integration
  • Secure storage and transmission
  • Single point of access
  • Standardized semantics
  • Historical data storage

File Autoloading

PCM’s secure infrastructure provides fully automated file loading so you can see where your files are and where they need to go. Schedule file transfers in and out of your data warehouse for multiple vendors all in one place.

Analytics File Management Tracking

Tracking

Analytics File Management Tagging

Tag

Analytics File Management Storage

Store

Analytics File Management Transmission

Transmit

Streamline file management.

Get claims-level visibility with PCM. 

Rebate management, Rx and medical claims visibility, and file management to reduce workload and improve margins. ​

RFP Tools page header

Why PCM analytics?

PCM provides claims-level plan and BOB detail at your fingergips. Organized to optimize benefit management so you can see cost drivers, utilizaiton, and engagement in a click. 

Support Solutions

  • Rx Analytics
  • Medical Analytics
  • File Management

Rx Analytics

You don’t need more Rx claims data, you need better data intelligence.

PCM’s analytics platform simplifies plan management by putting data to work. Load your plan data, and our automated system does the rest: no more spreadsheets, no more tedious analysis, just streamlined, transparent plan data. 

Analytics Pharm Ana Aggregate

Aggregate

View Rx plan data, across vendors and groups, for a global view of:

  • Utilization
  • Spend
  • PMPM Cost
  • Specialty Rx

 

Analytics Pharm Ana Analyze

Analyze

Explore plan-specific insights to see where Rx dollars are going:

  • Low-Value Drugs
  • DAW review
  • Fraud, Waste & Abuse
  • J Codes

 

Analytics Pharm Ana Act

Act

Add, manage, and monitor bolt-on solutions :

  • Data Monitoring
  • Contract Validation
  • Market Check
  • Rx Savings
  • Plan Reporting

 

WHY PCM

Built for You.

PCM’s technology is flexible, responsive, and agnostic. Basically, it’s built for benefit experts like you. Complete with immediate and ongoing support from our expert team, our system supports brokers, TPAs, consultants, PBMs and self-insured plans in their goal of streamlining benefit management.

Medical Analytics

Aggregate diagnosis, procedure, provider, and participant data in the PCM platform for actionable medical insights into:

  • J Codes
  • Chronic Care Conditions
  • Percent of Medicare
  • Facility Utilization
  • Participant Spend

Transparent Plan Details

With PCM’s medical analytics system, you can make data-driven decisions based on transparent, aggregated data. No more relying on vendor reports full of hidden fees and adjusted claims.

Analytics Med Ana Validate PMPM Spend

Validate PMPM Spend

Explore plan-specific insights to where your medical dollars are going.

Analytics Med Ana Analyze medical pharmacy

Analyze Medical Rx

Review J Codes and aggregated amounts for a global view of pharmacy spend.

Analytics Med Ana Optimize plan design

Optimize Plan Spend

Build a medical plan validated with claims-level detail.

WHY PCM

Get global transparency.

Drive plan decisions with complete medical + Rx data transparency. Measure, monitor, and validate plan decisions with data-driven information, no strings attached. With PCM, your analytcs system is:

  • Independent
  • Flexible
  • Agnostic
  • Responsive

File Management

Track thousands of claims files, validating data integrity and managing dependencies in one platform. 

  • Aggregate vendor data
  • Autoload claims and eligibility files
  • Transmit securely
  • Warehouse group and BOB data

Data Warehouse

Create a single source of truth for pharmacy and medical claims and eligibility files.

Analytics File Management Transmission

Multi-Vendor Integration

Analytics File Management Storage

Secure Storage and Transmission

Analytics File Management Tagging

Single Point of Access

Analytics File Management Tracking

Historical Data Storage

File Autoloading

PCM’s secure infrastructure provides fully automated file loading so you can see where your data is and where it needs to go. Schedule file transfers in and out of your data warehouse for multiple vendors all in one place.

 

  • Automated Tracking
  • File Tagging
  • Secure Storage
  • Scheduled Transmission
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WHY PCM

PCM does the work.

Cut down on the time and resources used to track and manage file. Our automated tools secure manage your files with a click.

See how PCM supports you.

Ready to learn more?

PCM provides the visibility, insights, and tools you need. Want proof? Click here to schedule a demo.

Complete the form below. A member of our team will be in touch shortly.

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Fax 1-855-296-3933
Email sales@pcmsavings.com

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