Case Study: US‑Rx Care achieves efficient in‑house management of high‑volume, secure EDI file exchanges with Astera Software

US-Rx Care Uses Astera to Efficiently Manage High-volume Data File Exchanges with Multiple Third Parties

US‑Rx Care is a pharmacy benefits and risk‑management leader serving over five million insured lives with 30+ years of industry experience and a track record of reducing pharmacy spend by 30–50% and improving HEDIS/Stars scores. The company needed a secure, reliable way to compile, send, receive and decrypt massive EDI file exchanges—millions of claims and eligibility records monthly—while managing over 1,000 custom workflows and resolving accuracy and consistency issues caused by a third‑party vendor.

By implementing Astera’s unified EDI and ETL platform and using SFTP for transfers, US‑Rx Care centralized and automated its file‑exchange workflows, enabling non‑technical staff to build and manage processes in‑house. The change eliminated reliance on external vendors, improved accuracy, consistency and security, reduced developer workload, and delivered significant time and cost savings.

US-Rx Care

Renzo Luzzatti

President