How Rx Claims Trigger Cost Avoidance

When ProTPL discovers other health insurance, you can reverse the latest claim and ensure that future claims, whether pharmacy or medical, aren’t paid in error. Discovering other health insurance fast, triggered by Pharmacy claims, allows you to intercept the medical claims, such as office or ER visits, that nearly always follow upon a pharmacy claim. When those new claims arrive, high-quality eligibility data cross-walked between pharmacy and medical mitigates the need for “pay and chase.”

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