Value Adds 1

Question 1

AWP Resubmission

Answer 1

Patented solution that enables pharmacies to identify, reverse and resubmit transactions for a higher reimbursement. This occurs because inaccurate or outdated AWP can be used in the initial reimbursement calculation, before the payer has updated their pricing file.

Question 2

Network

Answer 2

A real time service that connects pharmacies to payers

Question 3

Pre and Post Editing

Answer 3

Performs real-time financial, clinical, and administrative edits that improve claim accuracy and help optimize reimbursements

Question 4

Commercial E-1

Answer 4

Allows pharmacies to quickly and efficiently determine plan eligibility when the member’s card is not available or information is no longer accurate.