When it comes to providing immunizations, clinical services, DME and specialty drugs to patients, are you sure you’re receiving appropriate reimbursement? As pharmacies become more involved in clinical care, it’s more important than ever to ensure that you’re properly reimbursed for the growing number of items covered under the medical benefit.
CareCLAIM® is the pharmacy industry’s leading medical claim billing solution, trusted by over 25,000 pharmacies across the country to optimize reimbursement on medical claims. CareCLAIM enables you to bill for items covered under the medical benefit and optimize reimbursement for the immunizations, clinical services, DME and specialty drugs you provide to patients.
transactions processed each year
saved per year by reducing bad debt
increase in profits with denial tracking
CareCLAIM allows you to submit claims for professional services, immunizations, durable medical equipment (DME), medical supplies and drugs covered under the medical benefit just as you would any other third-party prescription insurance. We manage the entire medical claims process for you, from claim submission to remittance to denial management and audit support.
We are the industry leader in medical claims processing, with collection rates of up to 99 percent. With over 550 proprietary messaging edits and the ability to proactively identify immunization opportunities, CareCLAIM ensures payer-compliant claims and optimizes your reimbursement. We provide daily reimbursement tracking and robust analytics reporting to improve your cash flow, and proactively resolve denials and audits to save you both time and money.
When it comes to providing immunizations, clinical services, supplies and drugs to patients, many pharmacies are leaving money on the table. CareCLAIM has the unique ability to translate pharmacy transactions into medical claims, ensuring proper reimbursement of all items covered under the medical benefit. We support over 30 therapeutic classes and most pharmacy-provided clinical services, including:
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