Improve the revenue cycle
- Help improve claims payment accuracy through improved revenue cycle management.
- Free pharmacy resources by outsourcing claims chasing to a dedicated collections analyst.
- Track MAC appeal submissions, correspondence and gains, and explore MAC trend summaries and exceptions with powerful, multilevel reporting.
- Integrate with multiple pharmacy management systems, and get running quickly with an easy implementation process.
- Monitor ongoing audits, conduct risk vs. result analysis, set audit prevention triggers, and create and manage audit events.
- Streamline contract management to ensure compliance, verify prescriptions are paid at contract rate, analyze DIR accruals vs. actual and perform impact analysis.
Help enhance profit to secure a financial future
Revenue cycle management
Achieve robust revenue cycle management
Gain insights and experience from a dedicated team, track direct and indirect remuneration at patient and roster billing level, and see trends impacting the revenue cycle from more than 300 available reports.
Flexible reporting
Flexible reporting and data analytics
Gain visibility into the revenue cycle with a custom ad-hoc report writer. Get enhanced data visualization with customized scheduling and delivery, and easily create custom dashboards.
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Complementary solutions
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Rx CardFinder™ Services
A pharmacy eligibility service that checks patient coverage with the nation’s largest Pharmacy Benefit Managers (PBMs) and returns real-time responses.
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Rx Connect™
Our claims switch adjudication network allows pharmacies to send claims in real time to any U.S. third-party processor.
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Rx Assist
Our dynamic copay assistance and messaging platform helps deliver real-time prescription savings and educational messaging to patients.