The power of unified medical and pharmacy administration is clear
Judi Care™ and Judi Rx™ bring medical, dental, vision and pharmacy benefits on a single platform. The result is lower administrative complexity, better visibility into total healthcare costs, fewer vendor handoffs, and a simpler experience for members, providers, and plan sponsors.
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Medical
Pharmacy
Dental
Vision
UNIfied claims processing
Health benefits management will never be the same
One view into total cost of care
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See the drivers of high-cost claims
Access unified data for decision-making
Activate appropriate clinical programs
Support more informed plan decisions
One platform streamlines operations
Reduce administrative complexity
Connect claims, eligibility, and reporting
Create a single source of truth across benefits
One support experience for members
A single customer care team supports the total health plan (domestic, 24/7/365, multilingual contact center)
Technology aids clear communication
Plan members become smarter “consumers” with access to data and relevant information
OPERATIONAL efficiency
When you do two of everything, it costs at least twice as much
But in healthcare today, it’s worse.
Medical and pharmacy benefits are typically administered through separate vendors, separate systems, separate workflows, and separate service teams. The result is administrative duplication, disconnected data, fragmented member experiences, and limited visibility into total healthcare costs.
Medical and pharmacy benefits share eligibility, claims processing, reporting, navigation, and member support through a connected operating model.
A shared platform creates a more complete view of member activity, reduces operational complexity, and improves visibility across the healthcare journey.
Support network strategies, guide members to high-value providers, and improve care coordination through connected medical and pharmacy data.
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JUDI Care & JUDI RX VS. TRADITIONAL MODELS
A new industry standard for health benefit administration
One team streamlines operations and data management across medical and pharmacy
Drive significant optimizations and cost reductions by unlocking total-cost-of-care analytics
Better outcomes, enabling true value-based care through a holistic patient view
One centralized platform improves data management, eliminates redundant processes, and reduces waste
Holistic patient view enhances care coordination and patient safety
Traditional models
“Judi Health offers a unique healthcare solution to enable seamless, transparent, modular, and efficient claims processing. Health plans and providers have not been effectively able to manage their members’ care holistically or control costs because of the disparate claim processing systems and workflows used to manage pharmacy and medical benefits.”
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UNIFIED CLAIMS VIEW
Finally, the full patient story on one screen
With Judi Care & Judi Rx, clients can see medical and pharmacy activity in one connected environment, making it easier to understand what happened, where costs are going, and where support is needed.
View patient history
Access all claims for a member in one place.
Clear, actionable insights
Filter by claim type, status, or date to quickly find what you need.
Complete care journey
See what medications were filled and what medical services were provided.
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Judi Health represents one of the most significant strides toward value-based care. Its integrated approach redefines how healthcare can and should work.
Sunil Budhrani, MD, MPH, MBA
Chief Strategy & Medical Officer
Who should consider Unified Claims Processing?
TeSTIMONIALS
What our members are saying
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A Judi Rx member with depression, anxiety, obesity, and high cholesterol joined Rx Activate’s Obesity Step Solution, OSS. They started OSS already taking a GLP-1 for weight loss, but reported significant side effects to the Vida Care Team during enrollment. The member’s registered dietitian worked to personalize an intensive medical nutrition therapy and care plan to help the member achieve their health goals. Within 5 months, the member achieved 17% weight loss* and reported reduced symptoms of mild depression and anxiety.
*Results may vary. Research indicates the typical overweight or obese participant willexperience a body weight reduction of 7.2% and 7.5%, respectively.
I was identified for Judi Rx's Rx Helix program because of medications I was taking. My pharmacogenetic test results showed a few moderate drug-gene interactions, but I hadn't experienced any side effects from them. During the review, a pharmacist saw I was using three different anti-inflammatory medications at the same time, one of which was Ketorolac for migraines. The pharmacist explained that using Ketorolac for more than five days increases the risk of serious complications, including gastrointestinal issues, bleeding, and kidney damage. She contacted my doctor to recommend discontinuing the Ketorolac, and the doctor agreed. No further refills have been issued. I was very satisfied with my experience in the Rx Helix program. - Texas-based Plan Member
In just one day, four plan members were supported in transitioning to more affordable therapy options through the Rx Smart Save Level 2 program. Thanks to collaboration with prescribers and pharmacies, these members are now benefiting from a combined annualized savings of $3,403.44, plus $8,964.08 in annualized savings for the plan.
"The Judi platform has been incredibly user-friendly. I can easily check my deductible balance on their website, and the customer service agents have been exceptional and timely in addressing my questions."
"Judi Health works with best in breed solution partners that deliver convenience, improved outcomes and cost savings to members.”
"Judi Health has transformed my healthcare experience. The platform is intuitive and easy to navigate, and the range of services available is impressive."
"The variety of services available has made managing my health so much easier and more efficient."
FAQ
Frequently asked questions
What are Judi Care and Judi Rx?
Judi Rx™ is our pharmacy benefit management solution, and Judi Care™ is our medical benefits administration solution. Together, they create a unified benefits experience across medical and pharmacy benefits.
Does Judi Health administer both medical and pharmacy benefits?
Yes. Judi Care provides medical benefits administration, while Judi Rx provides pharmacy benefit administration. Together, they create a unified approach to healthcare administration through a shared platform (Judi) and operating model.
What is Unified Claims Processing™?
Unified Claims Processing is Judi Health's approach to administering medical and pharmacy benefits on a single platform. Instead of managing separate systems, vendors, data, and workflows for each benefit, Judi Care and Judi Rx operate through one connected operating model that brings together claims, eligibility, payments, reporting, navigation, and member support.
Is Judi a secure platform for managing healthcare benefits?
Yes. Judi Health is built with security at its core, following FISMA NIST 800-53 controls - among the most rigorous in the industry. Its serverless architecture and use of fully-managed AWS services reduce vulnerabilities and minimize ransomware risks. Judi also provides:
- Real-time monitoring for threats and anomalies
- Advanced malware and vulnerability detection
- Extensive content filtering to protect end users
How does Judi Health help with regulatory compliance?
Judi Health streamlines annual compliance by:
- Validating SBCs with Phia to ensure accuracy
- Managing timely and accurate 5500 filings
- Supporting full ERISA documentation and disclosures
- Handling state-specific reporting like NY’s HCRA
