Filling Out Prescriptions

OUR PROGRAM

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PHARMACY BILLING OPTIMIZATION SERVICES

Our pharmacy billing optimization services offer independent pharmacies an alternative to Pharmacy Benefit Managers (PBMs) improving reimbursement revenue for workers compensation, personal injury and auto claims. PBOS Rx provides guidance on formulary optimization and manages billing, collections, and reimbursements with full transparency.

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PROGRAM FEATURES

 BILLING & COLLECTIONS SPECIALISTS

  • HIPAA Compliant

  • PBOS is a real-time, one BIN solution that is proven and profitable.

  • Communicates Directly with Payor

  • Knowledge of State & Network Guidelines

END-TO-END 

CLAIMS MANAGEMENT

  • Full-Service Submissions & Processing

  • Appeal & Denial Management

  • Payment Reconciliation

  • Bill Status Follow-up  Every 15 Days 

MONTHLY 

REPORTING

  • Patient Aging Report

  • Billing Summary

  • Collections Report

  • Monthly ACH Reimbursements

HOW IT WORKS

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READY TO OPTIMIZE YOUR PHARMACY'S BILLING?

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