Judi Rx Products (5)

   
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Benefits Administration

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Pharmacy Benefit Manager (PBM)

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Pharmacy Benefit Provider

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Benefits Navigation Platform

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Pharmacy Cost and Transparency Tools

Product Description

Judi Care™ administers medical, dental, and vision benefit solutions for health plans, employer
groups (including Taft-Hartley plans), and government entities. Its offerings span claims
processing, benefits administration, payments, and member navigation, supporting a broad range
of plan designs and specialized programs across the full...
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About this product

×
Judi Care™ administers medical, dental, and vision benefit solutions for health plans, employer
groups (including Taft-Hartley plans), and government entities. Its offerings span claims
processing, benefits administration, payments, and member navigation, supporting a broad range
of plan designs and specialized programs across the full scope of healthcare benefits.

Built on the approach established in pharmacy, Judi Care extends the model to other
health benefits, including ancillary benefits administration, enabling organizations to consolidate
services typically delivered by multiple vendors into a more unified operating structure. This
reduces administrative complexity, eliminates data fragmentation, and mitigates operational and
security risk, all while improving the member experience.

Judi Care operates with a transparent, fee-based approach that aligns financial incentives with clients.
Clinical programs, contact center services, operational support, and other services are powered by
Judi®, the enterprise health platform that connects every aspect of the healthcare ecosystem and
processes claims for millions of Medicare, Medicaid, and commercial plan members.

Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

203 RFI Questions RFI questions

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21 Specific Questions Specific Questions tooltip

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Product Features

✓

Benefits record management

✓

Deduction calculations

✓

Benefits calculations

✓

Automatic benefit changes

✓

Customizable retiree rules

✓

Customizable dependent and beneficiary rules

Show All Features

Product Features

×
✓

Benefits record management

✓

Deduction calculations

✓

Benefits calculations

✓

Automatic benefit changes

✓

Customizable retiree rules

✓

Customizable dependent and beneficiary rules

✓

Retroactive/arrears processing

✓

Carrier billing

✓

Carrier reconciliation

✓

Carrier remittance

Not Provided.

Judi Rx Media

Judi Rx video/presentation/materials Play

Judi Rx Info

Founded:

2017

Funding Summary:

252M Series F

Location:

New York, NY

Links:

Employees:

1050
Judi Rx’s original mission was to redefine how prescription drugs are priced and patients are cared for to create enduring social change as a transparent pharmacy benefit manager (PBM). However, as business and client needs evolved, the focus shifted... Show More

About this vendor

×
Judi Rx’s original mission was to redefine how prescription drugs are priced and patients are cared for to create enduring social change as a transparent pharmacy benefit manager (PBM). However, as business and client needs evolved, the focus shifted to building and deploying the next generation of electronic claims processing technology: Judi®, an open, secure, and scalable proprietary Enterprise Health Platform (EHP) capable of consolidating all benefit-related administrative workflows and connecting and exchanging data with any vendors that clients may choose. Leveraging its technology and a business model that aligns with employers' interests, Judi Rx has disrupted the traditional PBM model and untangled the web of complicated contracts and opaque business practices to make it easier for benefit plan sponsors to understand what they are paying to administer their benefits plan.

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