Online Billing (3rd party billing)
The online billing module is designed to fully integrate with The Compounder Rx
software. Because many compounding pharmacies do not bill 3rd parties, we have this
as an additional module.
When integrated with The Compounder Rx you will be able to bill prescriptions to
third party insurances using the Internet. The system also keeps track of what was
billed in a detailed reconciliation file. There are several reconciliation reports
that you may print or export to Excel that will help you manage the reconciliation.
- The system uses NCPDP version 5.1 (older versions: 3.2, 3.A, 3.B, 3.C, 4.0 are still
available but not commonly used.) The user can define which segments are sent to
the insurance company.
- You can download insurance plans from our web servers. We get the latest insurance
updates every morning. This makes it very quick to add a new insurance. You can
search for an insurance by: Name (full or partial), BIN, Processor Control number
and other common items. (You must have a current support contract to access this
feature).
(No more trying to get the latest payer sheets. Simply download the
insurance setup.)
- The only insurance (that we know of ) that we do not bill is California
Medicaid (MediCal). We have not done certification with them. We
started a while ago, but they had too much red-tape to go through and it was
waisting our resources. If we have enough users requesting this, we can
revisit the certification process. (Nov. 2007)
- We integrate with RSI to adjudicate claims in seconds.
- We integrate with ERx to adjudicate claims is seconds.
- The system is certified with three vendors for billing Medicare claims online!
CareClaim,
EZ-DME
and
ALLWIN DATA SYSTEMS.
- You may use the system to transmit claims to various workers compensation plans.
Emdeon/WebMD/Envoy
Third party switching company
One Century Place
26 Century Blvd., Suite 601
Nashville, Tennessee 37214
Telephone: (615) 885-3700, 1-888-869-4369.
Business Hours: 8:00 am - 5:00 pm Central
Monday through Friday.
Visit Emdeon
site
Connect to the insurance through the internet for fast claims!
Retail Solutions, Inc.
The RSI client application authenticates a positive connection to their servers
located in Fort Worth, Texas. Once the authentication is complete their server application
sends a message to the client. This double checks the authentication. When a pharmacy
claim is sent to their client, the claim is encrypted (HIPAA approved) and then
sent to their servers. They then send the claim onto the payer who promptly returns
a response, that they relay onto the originating pharmacy.
Visit RSI site
Download RSI contract
Connect to the insurance through the internet for fast claims!
ERx
Emdeon, a leading provider of revenue and payment cycle management solutions, acquired
eRx Network, LLC, a leading provider of third-party claims management and analysis
services, Medicare and Medicaid DME billing services, reconciliation and recovery
services, and electronic prescribing services to the retail pharmacy industry.
This move, which combines eRx Network’s expansive technology and services
with Emdeon's existing suite of pharmacy solutions, will enhance the overall Pharmacy
Services organization by creating a new organization known as “eRx Network,
an Emdeon company”. Our pharmacy customers will continue to receive the exceptional
service, innovative technology, industry expertise, and superior products they’ve
come to expect.
Visit ERx