Pharmacy Bill Review

Healthcare Solutions

PHARMACY BENEFITS MANAGEMENT – Pharmacy Bill Review

We help healthcare organizations drive cost reduction and revenue enhancement through improved efficiency and effectiveness and process transformation.

  • Best-in-class series (Claims, Enrollment, Medical Management)
  • Requirements
  • Product evaluation and selection
  • Operational readiness (BPS)

Our offerings

  • Standard Bill Review
  • Complex Bill Review
  • Complex Bill Negotiations
  • Bill Review Expert Witness

Our pharmacy bill review services enable you

  • Be compliant with fee schedule and payer’s rules
  • High cost savings
  • Accurate and fast reviews with detailed EOB
  • Overall reduction in medical cost

Our competencies

  • In-house clinical, billing and coding expertise
  • In-house expertise to conduct complex and specialty bill review
  • Expertise in integrating state laws, case laws, coding technicality
  • Advanced data analytics
  • Ability to deliver data driven results

 

Reach out
to know more

+ 310-563-3800
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We would like to establish long term business relationship with genuine clients and are committed to total customer satisfaction. Please take a moment & tell us about your project needs. we will get back to you in 24 hours..