Delivering accuracy, automation and expert analytics for long-term care pharmacies

Reimbursement Services helps alleviate claim inaccuracies and burdensome administrative tasks that can interfere with a pharmacy’s focus on the specialized needs of long-term care patients.

Net-Rx’s portfolio of products includes RecRx, a claims reconciliation service that:

• Ensures the pharmacy is correctly compensated by third-party insurers
• Provides an automated, web-based system that verifies every payment so that a pharmacy is paid according to the agreed upon amount from adjudication
• Lists discrepancies in near time through an online portal, which makes the auditing process easy, fast and efficient
• Provides direct payment of claims to the pharmacy instead of the slower, central-pay system that ties up cash for up to 36 hours 
• Includes follow-up tools to track and manage missing payments

"I have NO idea how I kept track of insurance without Net-Rx, actually I do know how - I didn't!!! After about a month on your program I inquired about an Argus check for about $4,300.00 which was overdue (I knew this because of your program). They ended up reissuing the check. I am a pretty hard person to please, but I mean it when I said I do not know how I did it before."
                Carl Bannon
                Bannon Pharmacy, Inc 

We also offer Contract Assure, a value-add service that:

• Verifies your rate calculations to ensure a pharmacy is paid according to the Managed Health Care Associates, Inc. (MHA) negotiated rate on your Medicare D plan 
• Ensures you are sending a Location Code
• Secures accurate payment to your contracted rate
• Identifies non-matched Location Codes
• Provides a convenient report from which to recover missing revenue

 Edit Rx from Net-Rx is a personalized service that:

• Provides an expert claims analyst to help pharmacies resolve claims issues
• Identifies administrative inaccuracies
• Helps ensure that pharmacies achieve the highest reimbursement level possible for pharmaceuticals that are vital to treating the unique needs of long-term care patients