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Caribou Systems Caribou is the ideal vendor for your project, with over two decades of experience and hundreds of engagements involving hundreds of millions of claims completed annually
About Caribou Systems Caribou is a premier consulting firm that specializes in providing comprehensive business and technical systems expertise to the healthcare industry Founded in 1994, Caribou Systems specializes in two core areas of service: Pharmacy claim auditing services to employer, pharmacy benefit consultants and healthcare payers
BCBS Association System Consulting - Caribou Systems Caribou Systems has worked closely with our Blue Cross Blue Shield partners to review and incorporate these mandated changes Our consulting services for the initiatives have ranged from supplying a full implementation team to augmenting existing technical and business staff
CLAIM SYSTEMS CONSULTING - Caribou Systems Caribou Systems can provide 24 7 production support plus all modifications and services related to an application Backed by more than a decade of proven application outsourcing performance, we combine software experience, effective project management and focused industry solutions to deliver outstanding results
IT Consulting Services - Caribou Systems Caribou provides IT business and technical consulting services specializing in healthcare claims and related administration systems With consultants averaging more than 15 years in the industry, Caribou Systems consistently offers the exceptional expertise that ensures quality solutions
Solutions Overview | Caribou Systems We offer cutting-edge software solutions for healthcare payers, as well as a world-class technology consulting organization Our services include project management, business analysis, technical development, quality assurance support, and other professional services – all provided “onshore” in the United States at competitive prices
Pharmacy Claims Audit Services - Caribou Systems Auditing PBM claims is a critical component to controlling pharmacy costs If you are a broker consultant advising employers on their benefits, Caribou is the ideal partner as we do not provide any benefit consulting services Clients have relied on Caribou’s pharmacy claim audit services for years
Financial Audits | Caribou Systems Caribou’s extensive experience in auditing millions of claims over the past 10 years gives us insight into many of the unique algorithms and financial methodologies at play in the PBM industry related to contracting strategies
Medicare Part D Audit Services - Caribou Systems The foundation of oversight begins with Caribou’s standard suite of Pharmacy Claims Audit Services, where we can ensure that your PBM has implemented your benefits correctly, is accurately administering your contract terms, and has accounted appropriately for manufacturer rebates
EGWP Audit Services | Caribou Systems Caribou’s experience with eligibility and pharmacy claims data sets prove invaluable in diagnosing processing or set up issues and communicating corrective actions