Pharmacy benefit managers and healthcare providers often relied on manual processes to handle pharmaceutical refills and appointment scheduling. This resulted in delayed responses, risks of medication unavailability, and potential discrepancies in prescriptions, especially when doctor prescriptions did not match the pharmacy records. These challenges led to increased customer grievances and inefficiencies in managing care services.
Eclatprime deployed a clinical product platform built on Pega PRPC and the healthcare foundation. The solution automated customer interactions by allowing care givers to book appointments via a secure portal and automatically check with them regarding upcoming medication needs. For prescriptions, the system employed decision tables that validated doctor entries and flagged any discrepancies. Automated email notifications, along with a unified dashboard, ensured that all stakeholders—from care providers to network pharmacists—could access the required information promptly.
