Deterministic, reproducible, explainable claims processing.
IXB’s pharmacy claims-processing engine evaluates pharmacy transactions against versioned benefit, pricing, and utilization rules — and retains the evidence needed to explain the response.
This provides the transaction layer within IXB’s rule-to-transaction-to-dollar-to-evidence accountability model.
Deterministic
Given the same transaction and the same rule versions, the platform produces the same answer. Authoritative calculations are performed by deterministic, versioned services.
Reproducible
Rules and configurations are versioned, so the version that produced a result can be identified afterward.
Explainable
The reasoning behind a response is retained with it, so an authorized user can explain the result from the evidence.
Deployment scope, connectivity, and any required certification are confirmed for each customer. A working, controlled demonstration is available.
Design and test benefits with Benefits Studio
Benefits Studio helps teams prepare benefit configurations and exercise synthetic claim scenarios against the IXB claims engine. Compare expected and actual results, inspect available evidence and review proposed changes before production release.
Put claims information in specialty-care context
TGRX is designed to connect authorized claim outcomes with specialty referrals, pharmacy status and member follow-up through IXB or another qualified processor connection.
See the demonstration.
Bring a transaction scenario your team argues about, and we will walk through how the platform evaluates and explains it.