Pre and post editing helps avert common payment glitches and drives efficiency, compliance, and revenue.
A: This solution provides real-time pre- and post-edits as prescription claims are routed to and received from the third-party processor. By identifying outdated ingredient costs and performing a series of post-edits with specific messages, it helps ensure that claims are accurate and optimized for maximum reimbursement.
A: By providing proven, real-time edits and identifying outdated ingredient costs prior to submitting claims, this solution streamlines the claims process. It reduces the time and effort required to manage claims, allowing your pharmacy staff to focus on other important tasks and enhance overall productivity.
A: Yes, you can override a suggested edit to allow a claim to process without an update. This flexibility ensures that you have control over the claims process and can adjust as necessary to meet your pharmacy's specific needs.
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