About Caribou Systems

Caribou is a premier consulting firm that specializes in providing comprehensive business and technical systems expertise to the healthcare industry. Founded in 1994, Caribou Systems specializes in two core areas of service:

  • Pharmacy claim auditing services to employer, pharmacy benefit consultants and healthcare payers
  • IT business and technical consulting services specializing in healthcare claims and related administration systems

Caribou offers a true partnership with our clients. Because our focus is on maintaining long-term relationships, we make recommendations to our clients based on what is the “best fit” for their needs. This philosophy drives all of our individual actions and company policies. At Caribou, we independently monitor our performance to ensure that we deliver the most positive experience for our clients every time. We believe that our experience and dedication to client service are what keep our clients coming back.

What are the Caribou advantages?

  • Expertise in the most complex areas of claims administration
  • Comprehensive quality assurance and pharmacy claim processing expertise with hundreds of millions of claims audited
  • Caribou’s proprietary CRx pharmacy auditing system (configurable to enable audit rules to your specifications)
  • Highly evolved project management methodologies
  • Decades of proven experience serving payers nationwide
  • Extensive experience with healthcare claim systems and the largest provider of consultants with CAPS® (Claims Administration and Payment Systems) expertise
  • A strong commitment to excellent client service

By specializing in the most complex areas of claims administration, Caribou consultants bring valuable expertise.

100% On-shore
All services are provided “onshore” in the United States at competitive prices.

For more information about how we can help your organization,