How Pharmacies Improve Productivity with Pre & Post Edit Solutions

Navigating pharmacy claims is a challenge due to the complexity of monitoring multiple variables and system limitations. RelayHealth’s Pre and Post Editing (PPE) Services tackle this head-on by automating claim adjudication and enabling pharmacies to make informed decisions quickly. With PPE, actionable edits tailored to each claim reduce the risk of submission errors, improve reimbursement rates, and increase operational efficiency. Comprehensive web-based reporting adds extra value, allowing you to evaluate and refine your approach for optimal outcomes.

QRx has the experience and solutions you need to address rising drug costs without compromising patient outcomes.

QRx Solutions’ comprehensive Pharmacy Operation solutions help more than 50,000 U.S. retail pharmacies optimize financial and operational performance with products that assist with audit protection, reimbursement management, patient safety and operational efficiencies.

Minimize Claim Submission Errors

We monitor average wholesale price (AWP) changes for you and help you recover lost dollars on third-party transactions by reviewing, reversing and resubmitting claims.

Maximum Reimbursement

With real-time visibility and notifications at the point of dispensing, your team is empowered to make quick, confident decisions about eligibility, prior auth claims, coordination of benefits claims and more.

Reduce Audit Risk

Audit Intervention Service technology actively monitors common triggers at the point of dispense, so you can maintain prescription accuracy on the front end.