In addition to cash and carry and worker’s compensation dispensing, MedX has the ability to contract and credential your practice to adjudicate claims just like a pharmacy. Most practices today only process their patients’ health insurance benefits, not realizing they’re only capturing 50% of their patient’s total insurance benefits!
Processing your patient’s pharmacy benefits is different than processing health insurance benefits. Billing is performed at the time you electronically transmit the claim. In less than one second you will receive an electronic message from the insurance company notifying you whether or not the claims was paid or denied.
Below is an example of a paid message that you would receive in seconds after transmitting a claim. The total value of the claim would pay $43.20 with the patient responsibility paying $15.00. The remaining balance of $29.20 comes from the pharmacy benefit.
Upon being contracted and credentialed, you’ll be able to accept hundreds of pharmacy plans to serve many of your patients generic and brand medication needs. Reimbursements vary depending on the pharmacy plan and medication.
Any balance owed by the pharmacy payor is typically paid to you 21-45 days from date of service. Common issues when submitting health insurance claims are either reduced or eliminated since the claim is transmitted electronically with no paperwork.
Can The Dispensing Software Accept E-prescriptions?
Many practices want to E-prescribe to their dispensary, just as they currently do for local pharmacies. With our program, you can easily E-prescribe to your own dispensary while satisfying “Meaningful Use Requirements.” As an added benefit, the practice will be left with less paperwork and data entry for the staff saving time and money! Consider physician dispensing for your worker’s compensation patients to capture more revenue.
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