Refunds arrive from several sources on different schedules. RXLens matches each expected refund to the claim it belongs to, so you know what arrived, what is late and what is missing.
For drugs with a Medicare negotiated price, RXLens compares the refund you should receive with what was actually paid, claim by claim.
| Item | Where | Status |
|---|---|---|
| Eligible claims | 142 claims | Matched |
| Refunds received | 128 claims | Paid |
| Short payments | 6 claims | Review |
| No refund yet | 8 claims | Follow up |
Prescriptions left in will call are flagged before the reversal window closes, so the claim is reversed and the stock goes back on the shelf.
Medicare negotiated price refunds matched to each claim.
Recoveries owed by manufacturers, tracked to receipt.
Letters prepared when a refund is short or missing.
What is expected, received and outstanding this month.
Each eligible claim identified.
The amount you should receive.
What actually arrived.
On anything short, late or missing.
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.
