What does an online adjudication system primarily facilitate?

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An online adjudication system primarily facilitates claims processing and approval, which is a critical function in the pharmacy and healthcare sectors. This system allows pharmacists to submit insurance claims for medications electronically and receive real-time feedback on whether those claims are approved, rejected, or require additional information. This streamlines the process of verifying patient insurance coverage and ensures that pharmacies can efficiently handle the billing and reimbursement processes.

By utilizing an online adjudication system, pharmacies can optimize their operations, reduce the potential for errors, and enhance overall patient care by quickly confirming medication coverage and costs. This efficiency is vital for maintaining the financial health of a pharmacy, minimizing delays in medication access for patients, and improving the overall workflow within the pharmacy environment.

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