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Medication & Billing Errors: A ticking time bomb for your pharmacy?


In this context, PrimeRx stands out as a comprehensive solution tailored to address the dual challenges of billing errors and compliance risks in addition to saving time to pharmacists, including the hidden dangers of manual billing processes. By automating key aspects of the pharmacy workflow, PrimeRx significantly reduces the likelihood of errors that can lead to billing inaccuracies and compliance violations. Here’s how PrimeRx tackles these issues:


• Automated Claims Submission and Pre-verification: PrimeRx automates the process of claims submission, including a pre-verification step that catches mistakes before they escalate into costly errors. This feature ensures that claims are accurate and compliant with insurance requirements from the outset.

• Insurance Exceptions Report: This feature allows pharmacies to quickly identify and resolve issues with insurance claims, reducing the risk of denied claims and ensuring that patients receive their medications without unnecessary delays.

• Profit Revenue Report: By providing detailed insights into the pharmacy’s financial performance, the Profit Revenue Report helps pharmacy managers make informed decisions that can enhance profitability while maintaining compliance with billing practices.

• 835 File Submission: PrimeRx facilitates the seamless submission of 835 files, which are essential for electronic remittance advice, ensuring that pharmacies can efficiently manage reimbursements and maintain accurate financial records.

• Scheduled Task: Auto Billing and RX Verification: These features automate routine billing tasks and verify prescriptions against patient records and insurance coverage, significantly reducing the workload on pharmacy staff and minimizing the risk of errors.

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