A Heritage of Integrity and Credibility.
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Like the PBM industry, the out-of-network claims management industry is plagued by dishonest companies that employ fraudulent means to accomplish their goals. Similarly, the courts and government regulators have had to intervene to curb the practices of the most egregious firms.
PNPS is owned by Preferred Medical Claim Solutions (PMCS), the company that created the only legitimate means by which to negotiate and settle out-of-network claims. Lauded by both government regulators and the provider community alike, PMCS has established a level of integrity and credibility within the industry that is unequaled. As a result, Payors, Plan Sponsors, Plan Participants, physicians and pharmacists alike can rest assured that their dealings with PNPS will be on a level that has never before been available to them.
As an operating unit of PMCS, PNPS benefits from PMCS' decade-long experience delivering products and services to payors, a largely paid-for corporate business infrastructure, and the technological know-how required to coordinate and link the component parts of a sophisticated pharmacy benefit expense management offering. PMCS understands the challenges facing payors and has long-term, established trust relationships with many. With a built-in extensive and efficient distribution channel, PNPS enjoys a low business acquisition cost and the mass purchasing power of 2.3 million employee lives (having an estimated annual drug spend of more than $3.5 billion).
Given this, PNPS is uniquely positioned to change the way pharmacy benefit programs are purchased and delivered.
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