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Syrtis Solutions/ProTPL
ProTPL is a technology-based solution that provides the “Payer of Last Resort” market with an innovative and proven platform to prospectively cost avoid pharmacy claims and increase medical cost recovery. ProTPL's unique real-time data source, identifies four times more active primary pharmacy OHI on utilizing members than any other source.
Syrtis Solutions provides Medicaid payers with technology-based solutions to prospectively cost avoid pharmacy and medical claims that are the liability of primary commercial plans. ProTPL by Syrtis Solutions, swiftly identifies commercial coverage that other vendors are unable to locate, yielding an average 25% increase in other health insurance discovery for our customers.
Their unique real-time data source, identifies four times more active primary pharmacy OHI on utilizing members than any other vendor.
ProTPL by Syrtis Solutions, swiftly identifies commercial coverage that other vendors are unable to find, yielding an average 25% increase in other health insurance discovery for our customers. Claims are checked against a master patient index of over 300 million commercially covered lives - the largest and most complete database of active primary pharmacy coverage information in the nation. This means health plans will receive the best and latest eligibility responses fast - saving the costs of recovery. When ProTPL discovers other health insurance, a health plan can reverse the latest pharmacy claim and ensure that future claims, whether pharmacy or medical, aren’t paid in error.
Texas Covered is the largest event of its kind in Texas and brings together decision-makers from across the health care spectrum—from major health plans, providers and regulators, to legislators, journalists, academics and more.
