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Posted On: 07/02/2025 6:13:38 AM
Post# of 87112
Hello - been awhile...
Eagleforce - HRI - UNVC
https://www.theeagleforce.net/product_benefit_investigations
? How This Connects to HRI, UNVC & EagleForce
? What They Do >>> Connection
HRI (Healthcare Resources Inc.:
Functions as a Pharmacy Benefit Manager (PBM) under UNVC. PBMs directly manage benefit checks, claims adjudication, coverage determination, and cost sharing. They hold the payer contracts & real-time links to insurance plan data.
UNVC (Univec Conglomerate Inc.):
The parent holding company for HRI and related entities. Dr. David Dalton’s strategy has always focused on minority health, prescription savings, adherence, and benefit transparency.
EagleForce Health:
Offers a “Real-Time Benefit Investigation (RTBI)” platform. Their tools perform exactly what you described: verify coverage, formulary placement, patient out-of-pocket, and remaining deductible, then communicate this to the pharmacist or prescriber before the patient leaves the counter. (theeagleforce.net)
⚙️ How It Works in Practice
In this ecosystem:
HRI provides the insurance contracts, PBM claims feeds, and direct access to insurance plan benefit tables.
EagleForce Health provides the tech platform that does the real-time query: it pings the insurance carrier/PBM to pull exact benefit details, coinsurance, formulary tier, remaining deductible, and so on.
The MPE solution (Maximum Patient Exposure or similar) wraps in the estimated retail or contract-negotiated drug price + the benefit details to produce an accurate final out-of-pocket estimate for the patient.
UNVC ties this together as the umbrella and drives it into minority health clinics, telehealth programs, or pharmacy chains.
? Who Uses This?
Retail pharmacies (like CVS, Walgreens) use similar RTBI tools — sometimes licensed from third parties.
PBMs do this for large employer plans.
Specialty pharmacies rely on this for high-cost drugs.
MTM services wrap around this to ensure the patient understands their out-of-pocket and that cheaper therapeutic alternatives are explored if needed.
Bottom Line
? The real-time benefit check is a core capability for HRI/UNVC/EagleForce - this is absolutely connected to them in concept and likely in operations.
✅ Takeaway
EagleForce publicly markets RTBI/CRx Monitor via their website and sell-sheets—but there’s no outward-facing, official announcement from UNVC or HRI concerning:
- Partnerships with payors or pharmacy chains
- Deployment of RTBI in real-world settings
- Contract wins tied to benefit-check technology
This strongly suggests any ongoing use or integration is happening privately, under NDA, or within broader UNVC group operations—without official disclosure.
later!
Eagleforce - HRI - UNVC
https://www.theeagleforce.net/product_benefit_investigations
? How This Connects to HRI, UNVC & EagleForce
? What They Do >>> Connection
HRI (Healthcare Resources Inc.:
Functions as a Pharmacy Benefit Manager (PBM) under UNVC. PBMs directly manage benefit checks, claims adjudication, coverage determination, and cost sharing. They hold the payer contracts & real-time links to insurance plan data.
UNVC (Univec Conglomerate Inc.):
The parent holding company for HRI and related entities. Dr. David Dalton’s strategy has always focused on minority health, prescription savings, adherence, and benefit transparency.
EagleForce Health:
Offers a “Real-Time Benefit Investigation (RTBI)” platform. Their tools perform exactly what you described: verify coverage, formulary placement, patient out-of-pocket, and remaining deductible, then communicate this to the pharmacist or prescriber before the patient leaves the counter. (theeagleforce.net)
⚙️ How It Works in Practice
In this ecosystem:
HRI provides the insurance contracts, PBM claims feeds, and direct access to insurance plan benefit tables.
EagleForce Health provides the tech platform that does the real-time query: it pings the insurance carrier/PBM to pull exact benefit details, coinsurance, formulary tier, remaining deductible, and so on.
The MPE solution (Maximum Patient Exposure or similar) wraps in the estimated retail or contract-negotiated drug price + the benefit details to produce an accurate final out-of-pocket estimate for the patient.
UNVC ties this together as the umbrella and drives it into minority health clinics, telehealth programs, or pharmacy chains.
? Who Uses This?
Retail pharmacies (like CVS, Walgreens) use similar RTBI tools — sometimes licensed from third parties.
PBMs do this for large employer plans.
Specialty pharmacies rely on this for high-cost drugs.
MTM services wrap around this to ensure the patient understands their out-of-pocket and that cheaper therapeutic alternatives are explored if needed.
Bottom Line
? The real-time benefit check is a core capability for HRI/UNVC/EagleForce - this is absolutely connected to them in concept and likely in operations.
✅ Takeaway
EagleForce publicly markets RTBI/CRx Monitor via their website and sell-sheets—but there’s no outward-facing, official announcement from UNVC or HRI concerning:
- Partnerships with payors or pharmacy chains
- Deployment of RTBI in real-world settings
- Contract wins tied to benefit-check technology
This strongly suggests any ongoing use or integration is happening privately, under NDA, or within broader UNVC group operations—without official disclosure.
later!
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