Value Adds 1 Flashcards
1
Q
AWP Resubmission
A
Report that keeps PBMs in check for using outdated pricing. Patented solution that enables pharmacies to identify, reverse and resubmit transactions for a higher reimbursement
2
Q
Network
A
A real time service that connects pharmacies to payers
3
Q
Pre and Post Editing
A
Performs real-time financial, clinical, and administrative edits that improve claim accuracy and help optimize reimbursements
4
Q
Commercial E-1
A
Allows pharmacies to quickly and efficiently determine plan eligibility when the member’s card is not available or information is no longer accurate. Think Jan. 1 when plans change. Partner with SS on this.