Most recoupments start with a small billing error. RXLens finds the claims most likely to be audited, helps your team correct them and keeps dated proof that the correction was made first.
Each correctable claim comes with a plain fix sheet for your technician. The correction is made in your pharmacy system as usual, and RXLens records the date.
Audit letters are logged with their deadlines, matched to your claims and answered with a packet built from your records.
| Item | Where | Status |
|---|---|---|
| Cover letter | Prepared | Ready |
| Claims in the letter | 12 claims | Matched |
| Evidence on file | 11 of 12 | 1 missing |
| Corrections made before notice | 4 claims | Ready |
See how your claims look to a PBM auditor.
Every fix dated and kept on file.
Deadlines, claims and responses in one place.
Recoupments and extrapolations checked before you pay.
Claims most likely to be pulled.
Reverse and rebill in your system.
A dated record of the fix.
With the evidence already assembled.
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.
