HIGH COST CLAIMS MANAGEMENT
Save big with a new standard for prior authorization
A quantum leap in specialty claims management
Cubic’s FACET Program for prior authorization sets a new standard for high-cost claims management in Canadian prescription drug plans. A Cubic Clinical Pharmacist reviews and adjudicates claims for expensive specialty drugs for your members from end-to-end, using a novel disease-state based approach with the latest evidence-based criteria and clinical guidelines. The results are quick and impressive, and members get the therapies they truly need.
- 40% of all initial claims received by FACET are clinically inappropriate as prescribed
- Average of $10,000 saved per claim reviewed (not just for claims denied)
- 88% of all FACET claims are turned around within 2 business days