AX for Pharma
Maximizing pharmacist productivity is critical to retailers. Developing or enhancing workflow at pharmacy locations requires a strong understanding of business processes and technology architecture. The Insurance Module Add on solution from Levtech Consulting and Headstart helps pharmacies simplify their workflow; thus delivering better care through a more effective, automated process.
The solution allows pharmacies to seamlessly manage their Insurance Claims and reconciliations.
The solution enables pharmacies to electronically process prescriptions – eliminating the need for patients to pay cash and submit receipts. By utilizing electronic connectivity with back office the pharmacist at the POS is able to increase efficiencies in the processing and dispensing of prescriptions.
Features and Benefits:
- End to end solution for Insurance Management: claims from retail outlets, clinics, hospitals can be captured and managed through the submission and realization life cycle.
- Insurance agreements with clauses: such as exclusion lists, approval limits, validity dates and member ID formats as well as top up plans.
- Integration to local Health Authorities: with ability to define medicine codes for each authority.
- Insurance Submission, Resubmission and measurement of claim success rates: the process covers E–claims, Pharmacy Benefit Management (PBM) and manual submission processes.
- Automatic download from online claim portals and automatic reconciliation without standing invoices to expedite settlement process.
- Insurance claims from multiple insurance providers across same documents or multiple documents during a single visit.