In today’s pharmacy climate, it is critical to ensure maximum third party claim reimbursement while minimizing billing errors and potential audit risk.
Inaccurate pricing, incorrect quantities, outdated NDC’s, etc. all of these can significantly impact your bottom line. However, carving out time on a daily/weekly basis to review third party billing reports, claims analysis including billing issues, can be challenging - to say the least.
These are just a few of the third party billing issues as to why we created:
RECLAIM Rx Offers:
Saving our Customers $14 or more per eligible claim!!!
Automated resubmission service designed to maximize third-party claim reimbursements by identifying claims that have been paid based upon outdated AWPs. Rx Linc Professionals monitor claims for greater opportunity and apply best-practice analytics to our oversight of your opportunities. Weekly reports are generated and emailed to you identifying the weekly activity of savings.
Maximizes revenue by updating claims (in real-time) to the most up-to-date (daily) AWP without requiring any action by the pharmacy.
Ensures the most appropriate DAW code is being submitted to mitigate audit risk as well as the potential for reduced reimbursement.
Catches the common, but costly, errors of submitting incorrect quantities for inhalers, solutions, and other packaged medications.
Analyzes each claim to identify outdated NDCs and provides an updated replacement NDC where available. PBM's typically reimburse
lower on outdated NDC’s.