Pharmacy & Medical Billing

Claims, reconciliation and medical-benefit billing support for pharmacies, delivered by our affiliated billing team.

What is included

✓Pharmacy-benefit claim review and reject management
✓Medical-benefit billing for infusion, DME and clinical services
✓Remittance reconciliation and underpayment flags
✓Denial and appeal workflow
✓Monthly plain-English dashboard

Deliverables

📄 Signed BAA before any data
📄 Reject and denial baseline
📄 Monthly dashboard
📄 Appeal log

Credentials & partners

Business associate agreement template · Pending Billing certifications · Pending Cyber and E&O insurance · Pending

How it works

1

Intake

Access set up under a signed BAA.

2

Baseline

We measure rejects, denials and days outstanding.

3

Work the queue

Claims, appeals and follow-up.

4

Report

Monthly dashboard and trend review.

FAQs

Do you guarantee recovery amounts?

No.

Do you need patient data?

Only under a signed BAA, and only what the work requires.

Is this legal advice?

No.

Pricing by quote (pending). No guarantees of approval, payment or outcome.

Request help

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