judi-health

JSON twin: https://www.healthaidb.com/software/judi-health.json

Company Name

Capital Rx

Product URL

https://www.judi.health/

Company URL

https://www.cap-rx.com/

Categories

Summary

Judi Health is a unified claims processing platform that combines pharmacy and medical claims on a single, cloud-native system to streamline payer administration and reduce costs.

Description

Judi Health (founded 2024, a Capital Rx subsidiary) provides a cloud-native Unified Claims Processing™ platform that consolidates pharmacy and medical benefit administration — including eligibility, plan design, adjudication, invoicing, payment and analytics — to give payers, TPAs, employers and government plans a single source of truth for member care and spend.

Api Available

yes

Certifications

Company Founding

2017

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0864

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing, tiering, demos and trials (enterprise sales model).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2025

Security Features

Specialties

Support Channels

System Requirements

AWS-hosted SaaS

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Capital Rx",
  "company_url": "https://www.cap-rx.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2017",
  "product_url": "https://www.judi.health/",
  "categories": [
    "administrative",
    "claims processing",
    "payer-facing",
    "patient-facing",
    "care navigation",
    "pharmacy benefits administration"
  ],
  "market_segment": [
    "enterprise",
    "health plans",
    "smb"
  ],
  "links": [
    "https://www.judi.health/",
    "https://www.judi.health/overview",
    "https://www.cap-rx.com/solutions/pba-judi",
    "https://www.cap-rx.com/about/our-story",
    "https://www.judi.health/legal",
    "https://www.judi.health/contact",
    "https://www.judi.health/providers",
    "https://judi.care/",
    "https://www.prnewswire.com/news-releases/judi-health-earns-best-healthcare-insurtech-solution-in-the-9th-annual-medtech-breakthrough-awards-program-302449699.html",
    "https://ktla.com/business/press-releases/cision/20250210NY15447/capital-rx-unveils-healthcares-first-unified-pharmacy-and-medical-claims-processing-platform"
  ],
  "summary": "Judi Health is a unified claims processing platform that combines pharmacy and medical claims on a single, cloud-native system to streamline payer administration and reduce costs.",
  "description": "Judi Health (founded 2024, a Capital Rx subsidiary) provides a cloud-native Unified Claims Processing™ platform that consolidates pharmacy and medical benefit administration — including eligibility, plan design, adjudication, invoicing, payment and analytics — to give payers, TPAs, employers and government plans a single source of truth for member care and spend.",
  "target_users": [
    "health plans",
    "third-party administrators (TPAs)",
    "employer plan sponsors",
    "government payers",
    "health systems",
    "payer administrators",
    "members/patients",
    "providers"
  ],
  "specialties": [
    "claims processing",
    "pharmacy benefit management",
    "medical claim administration",
    "benefit design",
    "adjudication",
    "eligibility management",
    "invoicing & payment",
    "claims analytics"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing, tiering, demos and trials (enterprise sales model).",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Unified pharmacy and medical claims processing",
    "Real-time claims insights and analytics",
    "Eligibility management",
    "Plan design",
    "Claims adjudication",
    "Invoicing and payment processing",
    "Consolidated claims spend view",
    "Member and provider portals"
  ],
  "optional_modules": [],
  "integrations": [
    "Capital Rx (parent company)",
    "app.cap-rx.com (member portal)"
  ],
  "data_standards": [],
  "api_available": "yes",
  "system_requirements": "AWS-hosted SaaS",
  "compliance": [
    "NIST SP 800-53",
    "SOC 1",
    "SOC 2",
    "URAC"
  ],
  "certifications": [
    "SOC 1",
    "SOC 2",
    "URAC",
    "Validation Institute badge",
    "i1 Assessment badge"
  ],
  "security_features": [
    "NIST 800-53-based controls"
  ],
  "privacy_features": [],
  "data_residency": "",
  "customers": [
    "XO Health",
    "Prime Therapeutics"
  ],
  "user_reviews": [],
  "ratings": [
    "Best Healthcare InsurTech Solution — MedTech Breakthrough Awards (2025)",
    "Validation Institute assessment badge (Validation Institute)"
  ],
  "support_channels": [
    "phone",
    "contact_form",
    "email"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online"
  ],
  "release_year": "2025",
  "integration_partners": [
    "Prime Therapeutics (strategic alliance)",
    "XO Health",
    "AWS",
    "OpenAPI"
  ],
  "id": "P0864",
  "slug": "judi-health",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/judi-health.json"
  }
}