Rx · Billing & Recovery

Pharmacy Billing & Recovery

Pharmacy billing and recovery covers the full claim lifecycle: claim workflow assessment, rejection research, denial management, A/R follow-up, remittance reconciliation, underpayment identification, coordination of benefits, reversal and rebilling controls, secondary payer billing, and legacy A/R cleanup. Medical-benefit billing for vaccines, infusion, specialty, and DMEPOS is handled separately from pharmacy-benefit claims. Contingency-priced: a percentage of what I actually recover, no upfront fee.

What I handle

  • Claim workflow assessment
  • Rejection research and denial management
  • A/R follow-up and remittance reconciliation
  • Underpayment identification against contracted rates
  • Coordination of benefits
  • Reversal and rebilling controls
  • Secondary payer billing
  • Legacy A/R cleanup
  • Medical-benefit billing for vaccines, infusion, specialty, and DMEPOS handled separately from pharmacy-benefit claims

What it costs

  • A contingency percentage of recovered dollars, set in writing before work begins
  • No recovery, no fee

Start with an Rx Financial & Margin Assessment

A written finding: which prescriptions lose money, what your effective reimbursement actually is by payer, where inventory cash is trapped, and what each fix is worth annually.

Start with an assessment