A critical challenge for retail pharmacy today is the inability to decipher whether third parties are paying them at their contracted rate. Most pharmacies have limited or no visibility into the contract terms managed care organizations negotiate with third parties. As a result, pharmacies are often unable to analyze what they are actually being paid versus the actual contract rate. Actual^Rx provides the solution to this industry dilemma.

Actual^Rx is a new solution available within the Absolute^AR Accounts Receivable product suite. Designed to provide retail pharmacy with contract management and reimbursement analysis tools, Actual^Rx facilitates identification of third party payment exceptions resulting in realized revenue dollars.

Features

• A secure, proprietary contract management database comprising a single one location for the maintenance of contract rates and terms.
• Summary and detailed reporting facilitating actual recoupment of revenue dollars by substantiating and supporting the underpayment of claims by the payer
• Integration with Absolute^AR Reconciliation services—linking claim reimbursements to the actual payment remittances—allowing realized monies to be tracked