Capital Rx, a health technology company, has introduced Judi Health, the first claim-processing platform capable of handling both pharmacy and medical claims on a single system. The platform aims to help employer plan sponsors, health systems, and health plans streamline operations, improve patient experiences, and reduce administrative waste. Currently, healthcare payers manage claims through separate systems, leading to inefficiencies and increased costs. Judi Health integrates workflows for pharmacy and medical benefits, enabling real-time patient and plan management, reducing billing errors, and supporting value-based care models.
Built on JUDI, Capital Rx's enterprise health platform, Judi Health centralizes data, enhances care coordination, and accelerates treatment processes. Patients, particularly those with serious conditions, often face delays due to fragmented claims systems. Judi Health aims to eliminate these delays, ensuring faster access to essential treatments. According to Capital Rx Executives, the existing infrastructure does not fully support cost-effective, high-quality care. The platform allows health plans and payers to anticipate patient needs, improve decision-making, and enhance claims administration. Capital Rx continues to expand its technology solutions, serving millions of members across Medicare, Medicaid, and commercial plans.
