Members Management

Members Database

Cover/Product Database

Group & Individual Contribution Billing

Agency Administration Module (Optional)

Customer Service Notes System

Correspondence Module Features

Claims Processing Modules

Claims System Versatility

Claims Administration & Assessment

Claims System Summary

Reasonable & Customary Charges

Electronic Claims Processing

Dental Claims Module

Pharmaceutical Processing Modules

Claim Adjustment & Cheques Cancellation

Cheques & Remittances Advice

Report & File Generation



Pharmaceutical Processing Modules (Non PBS)

Allows you to process non-PBS prescription claim effectively
The Pharmaceutical Processing Modules with Paragon21 offers a complete solution for processing non-PBS prescription claims.  Consideration is given to wholesale costs and whether brand or generic drugs are used.  Multiple pricing levels accommodate variations that may be necessary.
Significant Strengths  


Maintains the MIMS list of drugs and medical references on line for validation.  

Identifies the Drug brand name, Generic name, Special restriction on use, Abbreviation, Composition, Size, quantity, PBS $ amount, Pt $ amount, Dosage and administration, etc.  

Allows variations to the drug process based on plan provisions.  

Identifies drugs not covered by the plan.  

Accommodates dispensing fees and Co-payments.



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Please contact
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