---
title: Case study Real-Time Eligibility Validation Tool for Pharmacy Benefits
description: Read how e-Zest has created a complete and reliable claim adjudication process that helped in enhancing the member experience by reducing the time it takes to process eligibility files. Also, work with a multi-location team of SMEs and e-Zest's technology team to complete the project
image: https://healthcare.e-zest.com/hubfs/real-time%20adjudication_case%20study%20banner_v1-01-01.jpg
---

[![E-zest Healthcare Logo color](https://healthcare.e-zest.com/hubfs/images/Logos%20with%20Tagline/Healthcare/SVG/E-zest%20Healthcare%20Logo%20color.svg "E-zest Healthcare Logo color")](https://healthcare.e-zest.com/)

- Segments ▼ 
    - [Payers](https://healthcare.e-zest.com/payers)
    - [PBM](https://healthcare.e-zest.com/pbm-services)
    - [Providers](https://healthcare.e-zest.com/providers)
    - [Healthcare Product Companies](https://healthcare.e-zest.com/healthcare-product-companies)
    - [Pharma](https://healthcare.e-zest.com/pharma)
    - [Life Sciences](https://healthcare.e-zest.com/transforming-the-life-sciences-industry-with-cutting-edge-solutions)
- Products & Services ▼ 
    - [Digital Data Engineering](https://healthcare.e-zest.com/digital-data-engineering-services)
    - [Digital Product Engineering](https://healthcare.e-zest.com/digital-product-engineering-services)
    - [Digital Transformation](https://healthcare.e-zest.com/digital-transformation)
    - [Digital Commerce](https://healthcare.e-zest.com/digital-commerce)
    - [Digital Front Door](https://healthcare.e-zest.com/digital-front-door)
    - [*IAMOK* Platform](https://healthcare.e-zest.com/i-am-ok)
    - [Telehealth Services](https://healthcare.e-zest.com/e-zest-telehealth-services)
    - [Mental Health IT Services](https://healthcare.e-zest.com/comprehensive-mental-health-care-solutions-and-services)
- Insights ▼ 
    - [Success Stories](https://healthcare.e-zest.com/success-stories)
    - [Blogs](https://blog.e-zest.com/healthcare)
- [Corporate](https://www.e-zest.com)
- [Contact Us](https://healthcare.e-zest.com/contact-us)

# Real-Time Eligibility Validation Tool for Pharmacy Benefits

In order to streamline procedures, reduce time, and boost revenue, medical technology is currently all about networking with various frameworks and advanced software solutions. There are several technological options available to confirm patient eligibility, and each of them will have some impact on the revenue stream.

e-Zest assisted a company that makes healthcare software by offering a complete PBM claims adjudication platform with real-time eligibility validation. The fundamental goal of this initiative was to increase the efficiency of the claim adjudication process by utilizing innovative technology that is accessible, reliable, speedier, and user-friendly for PBM enterprises.

As a result, the client desired to create a complete and reliable claim adjudication process that met the following requirements -

- Enhance the member experience by reducing the time it takes to process eligibility files
- Work with a multi-location team of SMEs and e-Zest's technology team to complete the project

The multilocational SMEs and team of e-Zest collaborated with the client and helped them in developing a tool used for Real-Time Eligibility File Validation.

As a client’s technology partner, e-Zest worked on:

- Process Time Optimization
- Performance Enhancement
- Business Process Optimization
- Notifications and Reports

**Fill out the form for a detailed case study to know how e-Zest has improved the complicated and time-consuming eligibility validation process for pharmacy benefits was improved by e-Zest, resulting in a better member experience.**

# Download Case Study

## Related Success Stories

##### [![Healthcare Customer Relationship Management](https://healthcare.e-zest.com/hs-fs/hubfs/Healthcare%20Microsite/Casestudies/Updated/Customer%20Relationship%20Management%20343x240.png?width=686&height=480&name=Customer%20Relationship%20Management%20343x240.png) Healthcare Customer Relationship Management The client provides business solutions to small and medium sized organizations all over the US. The actual end users of the application were a HealthCare accreditation organization. The Project was to develop a system that will help the client to provide maximum business for healthcare accreditation.](https://healthcare.e-zest.com/case-study-healthcare-crm)

[Read More](https://healthcare.e-zest.com/case-study-healthcare-crm)

##### [![Medical Communication System](https://healthcare.e-zest.com/hs-fs/hubfs/Healthcare%20Microsite/Casestudies/Medical%20Communication%20System_inside%20page.png?width=343&height=240&name=Medical%20Communication%20System_inside%20page.png) Medical Communication System The client is a Germany based provider of a wide range of hardware and software solutions for clinics and medical engineering.](https://healthcare.e-zest.com/case-study-medical-communication-system)

[Read More](https://healthcare.e-zest.com/case-study-medical-communication-system)

##### [![Healthcare Practice Management System](https://healthcare.e-zest.com/hs-fs/hubfs/Case%20Study%20banner%20-%20Healthcare%20Practice%20Management%20System_Tile%20(2).jpg?width=383&height=240&name=Case%20Study%20banner%20-%20Healthcare%20Practice%20Management%20System_Tile%20(2).jpg) Healthcare Practice Management System The client is a Chicago based healthcare software products and consulting services provider startup with special focus on clinical and non-clinical practice management systems. The Project was to build a Practice Management System (PMS).](https://healthcare.e-zest.com/case-study-healthcare-practice-management-system)

[Read More](https://healthcare.e-zest.com/case-study-healthcare-practice-management-system)

Load More

- <https://www.linkedin.com/company/e-zest-solutions/>
- <https://twitter.com/ezest>
- <https://www.facebook.com/eZest/>
- <https://www.instagram.com/ezestsolutions/>
- <https://www.youtube.com/user/ezestcorporate>

[Privacy Policy](https://www.e-zest.com/privacypolicy) | [Cookie Policy](https://www.e-zest.com/cookie-policy) © 2025 e-Zest Solutions

Dallas | Detroit | Hannover | Vienna | London | Pune

- [Digital Data Engineering](https://healthcare.e-zest.com/digital-data-engineering-services)
- [Digital Transformation](https://healthcare.e-zest.com/digital-transformation)
- [Digital Product Engineering](https://healthcare.e-zest.com/digital-product-engineering-services)
- [Digital Commerce](https://healthcare.e-zest.com/digital-commerce)
- [Digital Front Door](https://healthcare.e-zest.com/digital-front-door)
- [IAMOK Platform](https://healthcare.e-zest.com/iamok)
- [Telehealth Services](https://healthcare.e-zest.com/e-zest-telehealth-services)
- [Insights](https://blog.e-zest.com/healthcare)
- [Contact Us](https://healthcare.e-zest.com/contact-us)

- [Payers](https://healthcare.e-zest.com/payers)
- [Pharmacy Benefit Management](https://healthcare.e-zest.com/pharmacy-benefit-management)
- [Providers](https://healthcare.e-zest.com/providers)
- [Pharma](https://healthcare.e-zest.com/pharma)
- [Healthcare Product Companies](https://healthcare.e-zest.com/healthcare-product-companies)
- [About Us](https://www.e-zest.com/about-us)
- [Success Stories](https://healthcare.e-zest.com/success-stories)
- [Corporate](https://www.e-zest.com/)
- [Accion Labs](https://www.accionlabs.com/)

## Contact us

[Contact us](https://healthcare.e-zest.com/case-study-real-time-eligibility-validation-tool-for-pharmacy-benefits#test-popup)

e-Zest is a leading digital innovation partner for enterprises and technology companies that utilizes emerging technologies for creating engaging customers experiences. Being a customer-focused and technology-driven company, it always helps clients in crafting holistic business value for their software development efforts. It offers software development and consulting services for cloud computing, enterprise mobility, big data and analytics, user experience and digital commerce.