SWITCH CLAIMS IN REAL-TIME
Our claims switch adjudication network allows pharmacies to send claims to any third party processor in the United States. Our best-in-class infrastructure and technology lead the pharmacy transaction processing industry with two fully-live, independent, and geographically-diverse data centers for unmatched reliability.

OPERATE ON SECURE NETWORK
A variety of secure connectivity options ensures your infrastructure needs are met. Accreditation from Healthcare Network Accreditation Program (HNAP) and the Electronic Healthcare Network Accreditation Commission (EHNAC) indicates compliance that exceeds industry established standards and HIPAA Privacy Rule regulations

VALUE-ADDED TOOLS
Our high speed intelligent network is built to operate within existing pharmacy workflow. Flexible, on-demand tools offer the ability to research, monitor, track, and troubleshoot service activity for maximum efficiency and productivity.

Working in tandem with our claims switching service, eRx Edit is a comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity. Our intelligent edit engine provides real-time pre and post edits on prescription claims prior to being sent to and received from the third party processor.

eRx Edit provides a proven and flexible claims edit platform. Along with a robust set of standard edits, our customers can customize edits to meet the demands of their own workflow. Some of the features and benefits of this service are:

• Clear messaging identifying potential problems and suggestions is provided for claims requiring pharmacist intervention
• Compliance and audit edit help reduce submission errors
• Prescriber eligibility and patient commercial coverage alerts
• Verify that the most current ingredient cost is submitted on each claim
• Reject claims submitted with an NDC discontinued for 181+ days
• Provide post-edit messaging for claims paid at U&C
• Evaluate commonly audited products for specific fields such as day supply, new prescription requirements and date written products
• Detect suspect combinations of products and DAW fields likely to lead to under-reimbursement or audit risks

Our ePrescribing solution gives pharmacies and physicians a common method of connecting and communicating via a fast, secure and reliable network. By automating new prescriptions and refill requests/responses, eRx Network's ePrescribing improves the overall efficiency of the prescription process

eRx Network's ePrescribing solution includes a number of value-added, online self-help and troubleshooting tools. These tools include eRxView,™ a real-time script-viewing tool that allows pharmacy users to view all transmitted refill requests and new prescriptions.

Electronic Prescribing of Controlled Substances (EPCS) is also supported within the solution.

CardFinder is an industry-leading, real-time eligibility service that can help your pharmacy save valuable personnel time and, as a result, provide enhanced customer service. A single transaction quickly returns commercial coverage information for more than 270 million covered lives and Medicare Part D coverage information for patients 65 years of age or older.

CardFinder also works with eRx Network's ePrescribing solution to further improve your pharmacy’s workflow by performing automatic, real-time eligibility inquiries for new prescriptions.

eRx Network partners with pharmacies to provide advanced analytic services designed to maximize performance and profitability. Additionally, we deliver data feeds for any pharmacy data program through automated delivery processes in a variety of formats. We work collaboratively with our customers to find solutions that fit their business needs.

We provide data solutions for retail pharmacy operation, 340B management, remittance reconciliation, compounding, specialty, pharma, plus custom reporting and analytics to accommodate each pharmacy’s unique needs. Our enrollment process is fast and simple.

Out of pocket healthcare costs continue to increase for consumers. A component of these increasing costs is prescription drugs. Help reduce the financial burden of prescription drug copays, improve satisfaction and medication adherence for your patients. eRx Network offers a platform that provides pharmacies the opportunity to access some of the largest copay coupon programs available today.

We offer brand drug programs that can help increase medication adherence (by reducing the patient's out of pocket expense). Programs are available within the pharmacy management system and the electronic workflow you use today

Audit Advantage is a suite of real-time, automated solutions available to eRx Edit customers, designed to help pharmacies reduce the risk of state, federal and commercial audits. It includes two components – a prescriber eligibility alert and a primary coverage alert – that enable pharmacies to automatically perform these checks at the point-of-sale from within standard workflows and existing pharmacy management systems. Each real-time alert provides extended protection beyond the audit-focused core edits already offered by eRx Edit.

Payers can be slow to update pricing files, often doing so after the script is already filled. This leaves pharmacies with inaccurate payments, resulting in significant lost revenue. Payer Compliance, our advanced claim resubmission service, remedies this issue by helping pharmacies easily identify, reverse and resubmit claims that have been paid based upon outdated average wholesale pricing (AWP). Combining sophisticated back-end AWP variation analysis with real-time reversal and a resubmission user interface, our on-demand, web-based service provides an easy solution that can improve your pharmacy’s overall third-party claim reimbursement. Once a manufacturer publishes a price increase, the NDC is tracked to determine if payment is at the current published or old AWP. From there, our exclusive AWP variation intelligence engine identifies potential opportunities for enhanced payment. As the AWP variation intelligence engine identifies potential opportunities, users may log in at any time to the web service and easily review and process resubmissions. Claim opportunities are presented in real-time for review via a user-friendly, web-based tool.

eRx Network’s user portal provides secure access to tools and reports designed to improve workflow efficiency and optimize revenue. Our suite of web-based tools and reporting options are designed to provide flexibility for troubleshooting, business monitoring, and analysis for optimal efficiency.