ClaimWiseRx

Healthcare Benefit Technologies (HBT) is a leading provider of pharmacy claim auditing solutions, headquartered in Austin, Texas. Established in 2008, HBT specializes in ensuring compliance within the pharmacy benefit management (PBM), claims processing, and health plan industries. Their flagship platform, ClaimWiseRx, leverages decades of industry expertise to facilitate the oversight of pharmacy claims, significantly improving the integrity of submissions against health plan and regulatory requirements.

HBT offers a comprehensive range of services including desk and on-site audits, edit design, and tailored professional services to help clients manage their auditing programs efficiently. With a focus on medium to small PBMs and various segments such as commercial, Medicare, and Medicaid, HBT stands out by providing clients personalized audit parameters and automated solutions that enhance accuracy and speed in identifying discrepancies.

Their innovative analytics engine and user-friendly interface streamline complex auditing processes, enabling healthcare organizations to proactively prevent fraud, waste, and abuse, thus fulfilling their fiduciary responsibilities effectively. HBT’s dedicated team of experts ensures clients maintain full control while benefitting from state-of-the-art auditing processes.