RelayHealth Pharmacy Solutions

January Pricing Changes/AWP Resubmission

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Features of AWP Resubmission Services

  • Identifies prescription drug claims that were paid using an outdated AWP
  • Presents claims identified as opportunities for increased reimbursement in a report
  • Allows you to review and select which claims to resubmit for higher reimbursement
  • Even easier management via the online reporting options

This is just one of the many solutions we can offer your independent pharmacy to help make sure you’re at the top of your game. Put RelayHealth Pharmacy Solutions to work for you.  Fill out the form on the right to learn more.


OTHER SOLUTIONS:
With RelayRx™ Reimbursement Performance, we’ll help you:
  • Protect margins and optimize reimbursements with actionable messaging at the point of dispense
  • Improve operational efficiency with an automated prior authorization resubmission process
  • Drive better patient outcomes with prescription co-pay savings and patient safety programs

With RelayRx™ Claim Audit & Risk Evaluator, we’ll help you:
  • Address a top reason for audits – plan limits exceeded (ex. insulins)
  • Reduce OIG audit risk associated with dispensing prescriptions written by a sanctioned prescriber – $10,000 fine plus 3X the claimed amount per audited instance1
  • Check prescribers’ prescriptive authority for controlled substances

Fill out the form to learn more.  
12013 OIG Special Advisory Bulletin: Effect of Exclusion from Participation in Federal Health Care Programs

Fill out form to be contacted by a Client Executive

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