AbacusRx

RelayHealth Program Features

We have partner with Emdeon to offer value added transaction services to pharmacies, they offer superior solutions through the products and services when combined with the the Abacus software.

With the services offered by Emdeon, customers have access to web-based tools and near real-time reports. Users can view data for the entire pharmacy down to an individual claim and access online support tools as well as Customer Support team 24/7.

The eRx Payer Compliance Resubmission Service provides retail pharmacy with an automated solution to improve overall third party claim reimbursement through enhanced payment based upon Emdeon’s exclusive AWP variation intelligence engine.

1. This on-demand web-based solution provides our customers with a powerful and easy-to-use interface to manage the Resubmission Service.

2. eRx Payer Compliance maximizes third party reimbursement through the combination of sophisticated behind-the-scenes AWP variation analysis and a real-time reversal and resubmission user interface.

3. As the AWP variation intelligence engine identifies potential opportunities, users may login at any time to the web service and easily review and process resubmissions.

4. Inclusion and exclusion parameters are customizable on relevant NCPDP 5.1 fields to ensure each customer controls their own Resubmission Service opportunity identification process.

The eRx Reconciliation suite of services allows retail pharmacy to easily monitor and track payments of third party sales.

eRx Edit is an advanced real-time pre/post editing (PPE) solution which comprehensively improves pharmacy’s third party reimbursements and in-store productivity. As more and more prescription business involves third parties, it has become absolutely critical to ensure claims are submitted accurately and fairly to ensure maximum payment. As a solution, Emdeon offers eRx Edit, a superior pre/post edit service for retail pharmacy.

To request additional information, please contact Emdeon at 866-379-6389 or visit www.emdeon.com.