Closing the gap on hospital drug billing claims
Help reduce claim denials and improve processing with Claims Manager Plus
This sophisticated pharmacy claims solution automates the process of claim intervention to help you streamline claims processing, accelerate payment and minimize claim denials, while managing complex, government-mandated reporting requirements.
Claims Manager Plus (CMP) updates hospital patient billing charges based on rule sets you choose, correcting errors on claims for 340B regulations and other payer requirements:
- Missing modifiers and prices
- Purchase validation of NDCs billed
- Unspecified destination payer codes
- Incorrect NDC codes
- NDCs not matched to HCPCS codes
- Crossover modifiers between payers
Then, your modifications are incorporated back into the software so future claims will adjust correctly without manual intervention, continually reducing the percentage of rejected claims over time.
Visibility for the pharmacy and revenue cycle teams
Did you know?
As many as 76% of pharmacy claims require intervention. Claims Manager Plus automates the process to help you streamline claim intervention and enable significant sales potential while maintaining critical program compliance.
Learn more today — complete the form below for your FREE claims management toolkit!