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Report that keeps PBMs in check for using outdated pricing.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

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2
Q

Network

A

A real time service that connects pharmacies to payers

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3
Q

Pre and Post Editing

A

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

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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.

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