CareMetx Offers Highest Patient Automation, Reach for Electronic Prescription Benefit Verification

Bethesda, MD, January 7, 2025 – CareMetx, a leading technology-enabled hub services platform facilitating patient access to specialty medications, today announced expanded coverage and automation across pharmacy benefit managers (PBMs) for benefit verification, a critical step in accelerating therapy access.  

CareMetx’s comprehensive electronic benefit verification architecture leverages direct connections, incorporating PBM data sources including proprietary access to CMS data. Intelligent triage technology automatically determines the path benefit verifications should take to be successfully completed, resulting in optimal real-time delivery of electronic prescription benefit verifications. 

“We’ve served pharmacy benefit products for more than a decade, continuously iterating and improving our solution. Today, we proudly deliver the highest level of automation for nearly all covered lives,” said Gregory Morris, Chief Strategy Officer at CareMetx.   

“Our proprietary modern architecture enables the fastest path to benefit verification. We have engineered our technology in a way that sets us apart from traditional pharmacy benefit verification models.”  

CareMetx’s layered approach to benefit verification triage sets the stage for a model that will continue to expand and evolve to continuously deliver the highest level of automation for the most covered patients with accuracy and precision.  

About CareMetx 

CareMetx, LLC is a leading technology-enabled hub services platform facilitating patient access to specialty medications. Serving pharmaceutical, biotechnology and device manufacturers, CareMetx leverages digital eServices integrated in a cohesive platform to promote efficiency in the healthcare ecosystem and remove barriers for patients and providers. CareMetx is committed to delivering compassionate advocacy to patients, decision-making data, and confidence-building insight to manufacturer clients. Headquartered in Bethesda, Maryland, CareMetx serves more than 80 brands. Learn more at caremetx.com and follow us on LinkedIn at https://www.linkedin.com/company/caremetx-llc.