Oleen Pinnacle - Application Development Services

Application Development

What can a custom application from Oleen Pinnacle bring you?

When you partner with Oleen Pinnacle to create a targeted application solution for your organization, you’ll achieve:

A competitive edge, keeping you one step ahead of the competition
A cost-effective system that meets your budget and timeline requirements
Scalability and flexibility, keeping you prepared for tomorrow’s challenges
Reduced system operating and maintenance costs
Continuous improvement in your IT-based business processes

Oleen Pinnacle develops world-class technology solutions and custom applications for the healthcare industry. We use innovative engagement and process models that are custom-designed to meet your business needs, and balance a high-level business view with close attention to detail during the project’s execution.

From proprietary frameworks to open source components, we leverage best-of-breed technology and software development models to provide the greatest advantage and fastest return on investment.

Our application development services include:

Application interfaces
Application maintenance
New application development
Web portal
Data warehouse implementation
Reporting
Network development

With Oleen Pinnacle’s technical expertise and custom software development services, you can reduce outsourcing software development costs and enhance your revenue growth, keeping your business ahead in today’s rapidly changing healthcare landscape.



An Innovative Approach to RX Claims Processing When it comes to processing pharmacy claims, most payers turn to pharmacy benefits management (PBM) firms for claims approval and payment. Consequently, most managed care claims systems don’t have a real-time pharmacy interface built into their system. With the average cost per claim hovering in the 45 to 60 cents range for employer groups, and between 20 to 45 cents for MCO’s, it’s little wonder that plans see this as a real opportunity to save money. For years, a Southern California health plan was able to interface directly with NDC for pharmacy claims processing. When the decision was made to implement a new managed care processing system, the plan turned to Oleen Pinnacle to develop a real-time pharmacy claims processing system to avoid the added costs associated with using a PBM. Oleen Pinnacle provided project management, analytical and technical resources to design, develop, test, and implement the system according to the plan’s specifications. Within four months, the Oleen Pinnacle team created a two-tier, client/server real-time pharmacy claims system capable of adjudicating a claim every two seconds. It supports NCPDP standards and real-time EDI with over 2500 pharmacies. The system processes claims for multilevel copay benefit plans (brand, formulary, and generic) and can handle varying copays from retail and mail order prescriptions. The system also allows for specific drugs to be defined with a coinsurance charge instead of a copay. Since the implementation, the plan’s improved access to information has helped them provide better customer service, and they have realized a 30 to 40% savings in pharmacy claims processing compared to PBM charges.