RXinsider: Prescription Claims Reconciliation Services

Freedom Data Services

Pharmacy Category:
Third Party Claims Software • DME • 3rd Party Accounts Receivable Programs

Freedom Data Services

FDS, Inc. dba Freedom Data Services® (FDS) is a Service Administrator providing value added services to the healthcare industry in the form of competitive switching services, on-line claim reviews, electronic Durable Medical Equipment (DME) claims processing, market share administration, and pharmacy profitability management. FDS offers professional, comprehensive and affordable solutions to everyday management and the business processes of its trading partners.

Freedom Data Services has developed strategic alliances with wholesalers, buying groups, Pharmacy Benefits Managers (PBMs), pharmacy associations, software vendors, product suppliers, and independent pharmacies throughout the United States. Being wholly owned by a Registered Pharmacist gives Freedom a program perspective that impacts our customer's bottom line.

EZ-DME Online DME Claims Processing

Freedom Data Services (FDS) offers online Durable Medical Equipment (DME) claims processing with EZ-DME® - the most complete and comprehensive choices for online Durable Medical Equipment (DME) billing services available today.

EZ-DME has over twenty years of durable medical equipment billing experience and the know-how to get customers reimbursed quickly for DME claims. Billing durable medical equipment claims is EZ-DME's business.

Submit DME Claims Directly From Your Current Pharmacy Software

Freedom Data Services' On-Line EZ-DME Claims Processing Service allows participating pharmacies to submit DME claims directly from their existing pharmacy management system using standard National Council for Prescription Drug Programs (NCPDP) formats.

Claims are edited and responses are returned, generally, within seconds. Claims processed using EZ-DME generally are paid in about 17-24 days of submission from FDS to Medicare.

EZ-DME does not just switch claims.
EZ-DME is not just a submitter.
EZ-DME will not assume anything pertaining to a claim.

For information about our other product offerings or to learn more about the Freedom Data Services , please use the links provided below.

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EZ DME

Pharmacy Category:
Security Systems, Remote Order Entry/Telepharmacy

EZ DME Electronic Claims

Electronic DME Claims Submission with EZ-DME

Bill, Track, & Reconcile Durable Medical Equipment Claims

Nothing is easier, more efficient, or more cost-effective.

Eliminate Costly Manual Billing Service Fees
Submit DME Claims via the Internet or Your Pharmacy System
Automate Recurring Rentals Billing
Submit Electronic Medicare Flu Vaccine Claims
Work Held Claims or Rejects via Secure Internet Site

FDS offers online Durable Medical Equipment (DME) claims processing with EZ-DME® - the most complete and comprehensive choices for online Durable Medical Equipment (DME) billing services available today. DME Billing with EZ-DME helps you to submit claims quickly and accurately. You can use your current pharmacy software to prepare and submit your DME claims—fill and submit a DME script just like a drug script and receive payment in about 17-24 days. Nothing could be easier, more efficient, or more cost-effective. EZ-DME bills all of the Durable Medical Equipment Regional Contractors (DME MACs), state Medicaid programs, and Third Party payors. EZ-DME is a service product of FDS, Inc. We offer a complete electronic Service Bureau using National Council for Prescription Drug Programs (NCPDP) Telecommunications Standards.

If you have a DME billing question and want to know what you can bill or what modifiers you should use, you can call our toll-free support desk and speak with our knowledgeable representatives. EZ-DME interfaces with most pharmacy software packages and can also be used via a secure Internet portal.

Service Highlights

A secure Internet site gives you information about all of your DME claims. Login with your unique user ID and password, and then work any claims that are being held for additional information such as CMNs and facility information.

Rental Claims - Rental claims are entered into the system once, and then are automatically billed monthly or according to capped rental logic where applicable.
Secondary Claims - Secondary claims that do not crossover can be automatically sent to the secondary payor once remittance information and patient IDs have been updated.
Rejections - Rejections from either the front end of the payor or your 835 show up in a queue with additional tips on how to fix the errors. Once fixed, these claims are resent to the payor electronically.
Reconciliation - Reconciliation of your DME claims is automatic when an 835 is received electronically. Manual payments can also be easily applied for a full accounting of these claims.

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Third Party Solutions

Pharmacy Category:
Workers' Compensation Claims Management • DME • Third party Claim Management • Receivables Reconciliation • Workmans' Comp Claim Processing

Third party Reimbursement Software & Services • DME Billing • Workers' Compensation Prescription Claim Handling

Third Party Solutions
Third Party Solutions, Inc. headquartered in Memphis, Tennessee, is the largest provider of Workers' Compensation programs in the United States. Since 1982, we have specialized in workers' compensation prescription programs and DME (Durable Medical Equipment).

Convenience
Third Party Solutions Pharmacy Network includes pharmacy chains, grocery store chains, mass merchant chains, and independent pharmacies conveniently located in every state. Whether on the road or visiting a pharmacy in your neighborhood, our pharmacy network provides convenient access to needed medications. With the support of our sophisticated real-time computer systems and highly trained call-center personnel, the online claims processing network is available 24 hours a day, 365 days a year to serve your needs.

Want to know more?
Our sales and marketing personnel will gladly provide you with information outlining the additional benefits that accompany a business partnership with Third Party Solutions.
If you are interested in making workers' compensations faster and simpler, contact us today!

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PEP Systems

Pharmacy Category:
Third Party Claims Software • Insurance Reconciliation Software
3rd Party Accounts Receivable Programs

Are 3rd party claim payments potentially falling through the cracks?

Does your pharmacy manually reconcile accounts receivables?

Pep Systems has the answer!

PEP Systems delivers reliable, easy-to-use software products that help independent pharmacists to:

Increase profits

Reduce payroll

Gain control of finances

Increase efficiency and sales

Insurance Reconciliation Software

Reads paper reconciliation advices into your existing pharmacy operating system

Is so familiar and easy-to-use anyone can use it

Gives you immediate information on paid and unpaid claims

Puts control of your finances back where it belongs: in your store, not in the insurer's accounting system.

V 1.1 release supports QS1; other pharmacy operating systems support to be released Q3

Network Tool Suite

Eliminates waiting for access to your pharmacy's operating system and printers

Allows everyone in your pharmacy to work more efficiently

Makes it possible for you to work efficiently anywhere, even from home

Lets you reduce staff while increasing sales

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Electronic Billing Services, Inc.

Pharmacy Category:
Third Party Claim Management • Receivables Reconciliation • Prescription Remittance Handling
Insurance Claims Reimbursement Services

"Gold Star Preferred Billing Service" EBS is a full billing and consultation service, specializing in DME/POS products.

• Establishment of Service
EBS will help obtain appropriate NSC numbers and regional EDI, ERN, and/or EFT agreements. We also provide personalized forms and an easy to read DME manual.

• Training and Reimbursement Seminar
A Medicare professional will come on site to explain coverage guidelines, documentation requirements, Medicare reimbursement, assignment and participation agreements, inventory tracking, marketing strategies, and much more.

• Claims Submission
EBS will file and track CMN's and provide fast, accurate claim submission. We supply monthly detailed billing reports.

• Technical Support
We provide ongoing training and updates as Medicare changes are made and as your business expands. A courteous, professional staff will assist you with coverage and billing questions.

•Accounts Receivable
We keep constant vigil over accounts, post payments, and provide monthly patient invoices and statements, plus quarterly account reports.

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eRX Network

Pharmacy Category:
Third Party Claims Software • Insurance Reconciliation Software
3rd Party Accounts Receivable Programs

eRx Claim Reconciliation simplifies the administrative task of third party payment reconciliation. Remittance advices, whether electronic (ERA) or paper, are input into our reconciliation system to ensure that your payment matches the claims processed during adjudication. The eRx Claim Reconciliation service is designed for use by independent pharmacy, pharmacy networks (PSAO), and chains.

Benefits:

Electronic Remittance versus Paper
Direct Deposit versus Paper checks
Exception based claims analysis based on your accounting guidelines
Identify partially paid or unpaid claims on a weekly basis
Output files for use with your internal financial applications
Transaction-based claims capture and reporting

Available Online Reconciliation Reports:

Trial Balance
Aging
Claims Status Detail

eRx Claim Reconciliation integrates years of third-party payment and accounting expertise to automate your accounts receivable reconciliation on a weekly sales cycle. Claim status is simply a few clicks away.

For information about our other product offerings or to learn more about the eRX Network , please use the links provided below.

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Third Party Claim Management - Receivables Reconciliation - Prescription Remittance - Insurance Claims Reimbursement Services