RelayHealth’s Pre and Post Editing (PPE) Solutions automate the critical elements of pharmacy claim adjudication. By providing actionable messages specific to each claim, PPE helps staff make faster, better-informed decisions that improve revenue potential and productivity.

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Managing pharmacy prescription claims is a complex process, with numerous variables to monitor and dispensing system limitations to consider. If your pharmacy staff doesn’t effectively manage prescription claims, you could face processing delays and incomplete reimbursement. And yet manually managing the clinical and financial variables in claims processing requires tremendous resources.

Maximize pharmacy claims reimbursement accuracy

RelayHealth’s Pre and Post Editing Solutions assess each claim against dozens of parameters and deliver meaningful and actionable messages. These messages result in smoother processing, helping to ensure optimal pharmacy claims reimbursement.

PPE reporting offers a web-based suite of reports regarding your use of pre- and post-edits. By enhancing the impact and value of PPE, you can make strategic decisions to refine your results even further.

A pharmacy claims tool that brings results:

  • Realize your pharmacy’s optimal reimbursement potential.
  • Reduce claim submission errors.
  • Improve pharmacy staff productivity.
  • Enable better strategic decisions.

Manage pharmacy claims efficiently and effectively:

  • Real-time pharmacy claims validation
  • Meaningful and actionable messages to staff
  • Continual updates and new edits based on changing payer and industry requirements
  • Web-based reporting for comprehensive analysis