PDA is the established expert in this process and has been assisting plan sponsors with reopenings since they became available. Our one-of-a-kind methodology and custom built software can help improve total subsidy recovery by an average of 8-15%. We have spent over a decade crafting a proprietary suite of custom software tools focused on finding additional subsidy in three primary areas:
Enhanced Drug Filtering
By developing a filter with the nation's leading pharmacy experts, PDA can accurately categorize Part B and Part D drugs allowing us to maximize subsidy payments.
Improved Member Eligibility
By identifying and retaining member alias information from all available sources, PDA's proprietary software gives Plan Sponsors a unique advantage.
Increased Claims Matching
PDAs prescription and medical claims processing systems re-adjudicates claims using only Medicare's eligibility rules to maximize orphan claims to member matching.