Emdeon

Emdeon Payer Compliance

The Emdeon 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.

Want to automate AWP resubmission services? Let our healthcare efficiency experts review your business and apply our knowledge to your bottom line.

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Features

  • This on-demand web-based solution provides our customers with a powerful and easy-to-use interface to manage the Resubmission Service.
  • Emdeon 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.
  • 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.
  • Inclusion and exclusion parameters are customizable on relevant NCPDP 5.1 fields to ensure each customer controls their own Resubmission Service opportunity identification process.

Pharmacy News: Emdeon Chain & Emdeon Independent

The Emdeon eNewsletters provide educational and strategic information relevant to the pharmacy industry, our solutions and the business of retail pharmacy.

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  • The U.S. Healthcare Efficiency Index is a forum for raising awareness and monitoring business efficiency in healthcare.

    The U.S. Healthcare Efficiency Index is a forum for raising awareness and monitoring business efficiency in healthcare.

  • We are working diligently to deliver solutions enabling our customers to meet HIPAA 5010 requirements seamlessly!

    We are working diligently to deliver solutions enabling our customers to meet HIPAA 5010 requirements seamlessly!