An integrated suite of tools for claims, reimbursement, refunds and audits. RXLens reviews every claim, every day, and gives your team one prioritized list: underwater claims to appeal, refunds you are owed and claims to correct before a PBM audit.
| Item | Where | Status |
|---|---|---|
| Underwater claims to appeal | MAC appeal | $1,284 |
| MFP refunds not received | Refund | $3,610 |
| Not picked up, reverse | Return to stock | $742 |
| Claims to correct | Reverse and rebill | $2,190 |
| Fixed last week, proof on file | Done | $5,025 |
From the reports your pharmacy system already produces.
150+ checks on every claim, every day.
Ranked by value and by the days left to act.
Each correction recorded, and the results reported weekly.
Protect margin on every fill and recover what you are owed.
Part A, hospice and facility billing kept clean.
High-value claims checked before they become recoupments.
Every store on one screen, with the results in one email.
A short screen share with our team. We will walk through the morning list, an underwater claim from appeal to payment, and audit preparation, using sample data.
