EditRx by Net-Rx is an advanced post-edit claims analysis service designed to help pharmacies uncover missed revenue opportunities and enhance billing accuracy. Leveraging proprietary analytics and the expertise of a dedicated Reimbursement Analyst, EditRx evaluates processed claims to detect database and coding discrepancies that may impact reimbursement. This solution offers pharmacies exception-based reporting and consulting insights, enabling teams to identify and correct billing errors that would otherwise result in lost revenue.
Unlike standard pre-edit tools, EditRx focuses on claims after adjudication, providing an additional layer of financial oversight. Pharmacies receive actionable intelligence to determine if the amount paid was the maximum available based on current coding and payer rules. When paired with Script-IQ®, Net-Rx’s pre-edit solution, pharmacies gain end-to-end visibility into claim performance, before and after submission, improving overall revenue management.
Key advantages include:
- Regularly scheduled consultations with your Reimbursement Analyst to review claims and provide guidance to prioritize and correct errors
- Maximized pharmacy reimbursement on every claim
- 24/7 Web portal access
- Real-time reporting
- Extended Customer Support hours via phone, e-mail, and live chat
This solution ensures that every claim is thoroughly analyzed, helping pharmacies optimize revenue management while receiving continuous expert support.
