We understand that pharmacy reimbursement must include both pharmacy and medical benefits
TransactRx combines healthcare benefits expertise, provider network management and our patented cross-benefit transaction platform to change the way drug reimbursement is managed across medical and pharmacy providers regardless of benefit type; pharmacy or medical.
Our solutions help pharmacies grow their immunization and clinical services programs by simplifying the submission of claims and the reconciliation of payments for medical benefit covered products and services.
Use your existing pharmacy management software to submit claims and manage reimbursement for all immunizations covered under medical benefits for Medicare, Medicaid and commercial insurance plans. RXMedClaim includes real-time claim edits and automatic eligibility to insure clean claim submission, back-end payer reject, denial management and remittance reconciliation services for near 100% payment rates. RXMedClaim provides pharmacy remittance files that can be downloaded and posted directly into your pharmacy A/R system. Our live customer service department is available to answer your questions. The service supports billing for all Covid-19 vaccines, testing services, test kits and MAB products.