Capture more revenue with solutions for prior authorizations, Rx processing, billing, mail order services, and support.

We will access arriving orders, and enter them according to the rules and protocols specific to your pharmacy. That includes Priority, Run-Time, and Cut-Offs. Medication orders are entered into your Pharmacy Information System precisely as your staff is doing currently.

We review all documents arriving into your document management system, and sort in real-time based upon department and priority. This includes adding run-times or other annotations needed to ensure proper handling of the documents.

We will work side by side with your billing team to help manage the daily volumes of work, including intake registration, insurance eligibility, prior authorization, census maintenance, payment posting, and Medicaid pending status check.

We work the daily census documents received from the facilities, updating admissions, discharges, hospital leaves, bed holds, room changes, and coverage changes. They will also adjust claims already processed to ensure proper plans are being billed on the correct dates.

We will verify that a prior authorization is required, initiate and submit the request, follow-up on the status of the claim, and update your system. Our insurance verification team will confirm patient medical and pharmacy benefits with accuracy and quick turnaround times.

When you grow your business, we will help you get those new patients into your system and ready to be filled in time for the go-live. 100 percent of internal QA ensures the highest quality patient set-up and order entry of both medication and ancillary orders.