OUR PROGRAM
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.
PROGRAM FEATURES
BILLING & COLLECTIONS SPECIALISTS
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HIPAA Compliant
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PBOS is a real-time, one BIN solution that is proven and profitable.
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Communicates Directly with Payor
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Knowledge of State & Network Guidelines
END-TO-END
CLAIMS MANAGEMENT
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Full-Service Submissions & Processing
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Appeal & Denial Management
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Payment Reconciliation
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Bill Status Follow-up Every 15 Days
MONTHLY
REPORTING
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Patient Aging Report
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Billing Summary
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Collections Report
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Monthly ACH Reimbursements
HOW IT WORKS
