The
LibraRx Direct Reconciliation program offers independent pharmacies
with “transaction level" reconciliation using the
same, state-of-the-art systems that the chains use. LibraRx
Direct compares data received from the pharmacy's switched
data (paid claims response) to HIPAA mandated 835 electronic
remittance advice submitted by third party payers. LibraRx
Direct supports reconciliation with many of the third party
payers that offer electronic claims remittance.
To participate in the LibraRx Direct Reconciliation program,
follow the link at the left titled “Enroll in LibraRx
Direct now”. For more information,
please contact us toll-free at
(800) 460-1575 - Option
#4.
Here's what you can expect from our Third Party Claims
Reconciliation:
- Accurate reimbursement from contracted third party payers
- Weekly and monthly reports identifying those third party
payers that have not reimbursed 100% of the owed amount
- Identification of claims that third party payers hold for “post
audits” even though you may have received a “paid” response
- Easy access to web-based remittance advice reports
- Best of all, payments will continue to be sent directly
to your pharmacy
Summary of Reports Through LibraRx Direct Reconciliation
The return on investment for participating in the Libra Reconciliation
program can be significant, and it is clearly stated on our
reports. Our reports are classified as follows:
Payment – Provides your deposit
history and the claim counts posted for each payer for
each reporting period. You can drill down to the claim
level on this report.
AGING – Claims appear on this report
when they remain unpaid over time. This report tracks these
claims 0 to 44 days (current), then at 45-90, 91-120 and
over 120 day increments. You can drill down to the claim
level detail to examine individual claims that have not been
paid.
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