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Payer Compliance

Our advanced claim resubmission service remedies the issue of inaccurate payments by helping pharmacies easily identify, reverse, and resubmit claims that have been paid based on outdated AWP. Combining sophisticated back-end variation analysis with real-time reversal and a resubmission user interface, our on-demand, web-based service provides an easy solution that can improve third-party claim reimbursement.

Recover lost revenue with Average Wholesale Price (AWP) resubmission.
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TRACK PRICE CHANGES

Once a manufacturer publishes a price increase, the NDC is tracked to determine if payment is at the current or old AWP. From there, our exclusive AWP variation intelligence engine identifies potential opportunities for enhanced payment.

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REVIEW OPPORTUNITIES IN REAL-TIME

Claim opportunities are presented in real-time for review via a user-friendly, web-based tool that allows your pharmacy to easily resubmit or append claims.

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RECOVER LOST REVENUE

As the AWP variation intelligence engine identifies potential opportunities, users may log in at any time to the web service and easily review and process resubmission to maximize third party reimbursements.