- Our Solutions
Advanced Claim Edit Solutions

Optimize Your Pharmacy’s Reimbursement Potential
Transform your claims data into revenue opportunities with RECLAIM | Rx, our enhanced pre and post edit service. This comprehensive solution automates the complexity of pharmacy claim management while proactively identifying reimbursement opportunities and preventing costly billing errors before they impact your bottom line.
RECLAIM | Rx saved pharmacies over $7 million in reimbursement savings last year.
What's Included
Guided by integrity, trust, and client-centricity, our values drive everything we do.
Key Benefits
Minimize errors
RECLAIM | Rx reviews your claims electronically, flags any errors that need intervention, and our team contacts you directly to help resolve them. This may include issues such as inaccurate quantities, brand name drug pricing errors, or outdated AWP pricing. If not resolved, these errors can result in lost profit.
Save time
We understand what it takes to run a busy independent pharmacy, and we’re here to make claims review and resolution easier for you. By removing that burden, we give you more time to serve your patients.
Maximizing reimbursement
RECLAIM | Rx is the solution to your reimbursement woes. By combining technology, data analysis, and market intelligence with outstanding customer service, we can help maximize your reimbursements and improve your bottom line.

PRT (Payer Response Transparency)

Automated AWP Resubmissions
Transform your pharmacy’s reimbursement potential with our intelligent automated solution that identifies and captures overlooked revenue opportunities. Through continuous monitoring of Average Wholesale Price (AWP) changes, our advanced analytics platform automatically identifies eligible claims and manages resubmissions on your behalf, delivering an average yield of $17 – $18 per eligible claim. Our system processes claims weekly, ensuring no reimbursement opportunity goes unnoticed, while requiring zero additional work from your team. With real-time market intelligence and precision benchmarking, we handle the complexities of reimbursement optimization while keeping you informed through comprehensive reporting. Experience worry-free revenue enhancement with our performance-based service that works tirelessly to improve your bottom line.
Prescriber Schedule Authority

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