Case Study: SureScripts NCPDP & D.0 Pharmacy Billing Integration

About The Project

We were approached by the owner of a small retail pharmacy chain based in New York City. They were building their own retail pharmacy dispensing system to use in-house, and then be subsequently licensed to other retail pharmacies. They had an off-shore development team that was capable of engineering and building the application, but they lacked the subject matter expertise to integrate it with the third-party systems required by a dispensing system. Specifically, they needed to integrate the NCPDP transactions with SureScripts, so their system could receive electronic Prescription records (eRx). They also needed to integrate the D.0 transaction set for pharmacy billing. They did this with RelayHealth as their provider.

We put together a small team of our experts with years of experience doing complex systems integrations in health care, application programmers who had integrated other systems with these exact transactions, and project managers who had previously worked with SureScripts and Relay Health. Our team of programmers built code libraries and working examples that their offshore team could plug into their application without needing to learn every nuance of a specification that is over one thousand pages. Our programmers worked with their team to consult them and answer questions along the way, and reviewed their code to ensure they were implementing best practices and secure coding standards to protect the sensitive data.

We managed the relationship between our client, who was new in the technology space, and both SureScripts and RelayHealth. Our extensive experience working with these transaction sets and our history working with both vendors helped accelerate the timeline dramatically, and ensure an efficient and successful implementation that saved everyone time and resources.

 

Result/Outcome

We worked with our client through their design and implementation phase, and consulted them through their successful certifications with both SureScripts and RelayHealth. Their software was able to integrate with the services necessary at the time, and the lessons and experiences we taught their team equipped them for success with future integrations. We served as the glue between our client, their offshore development team, and the service providers, and our expertise benefitted everyone.

Let’s talk about work
We appreciate your interest. Lets talk.
First Name
Last Name
Phone
Email
Company Name
How can we help you?
Other Work
Case Study: Process Automation Servicing Health Plans & PBMs
Small private company ($2M rev) | Philadelphia, PA | Health Care service company

Company provides a service to health plans that requires a large daily volume of letters and faxes be sent to members, pharmacies, physician offices and regulatory agencies. The clients could modify the letters at any point, and the company did not have the programming staff to keep up with the letter template updates.

Case Study: Business Process Optimization
Large public company ($2B rev) | Midwest | Health Care Service Provider

We were approached by the Vice President of Pharmacy Services, who knew a part of his business inside and out from a previous job, but was currently paying a consulting firm $75k/month in fees.

Let’s talk about work
We appreciate your interest. Please contact us.
Let’s Talk