Payors
Improve Reimbursement Accuracy
The ReimbursementCodes SaaS application provides insight into medical covered drugs with the most up to date coding and pricing information in the industry. Our platform of data and software-as-a-service applications gives payors the capability to drive improvements related to medical drug spend. Pharmacy, financial, clinical and claims teams have access to timely and accurate data that can optimize reimbursements, control costs and efficiently manage complex workflows.
Providers
Reduce Claim Denials, Drug Price Transparency
Providers of all types are faced with the challenge of understanding all aspects of the coding and pricing process related to submitting a claim for payment. The goal is to always get it right the first time. The added challenge of providing accurate NDCs and related units makes claims a daunting task. ReimbursementCodes is a software-as-a-service application designed to minimize the reimbursement risk and delayed processing, for both provider and payor groups.
Pharma
Gain Access to The Health Care Community
ReimbursementCodes offers pharmaceutical companies comparable intelligence on medically covered drugs in the health care system. Pharma manufacturers can perform the following:
- View and compare coding and reimbursement rates, including AWP, WAC, ASP and APC rates which have proprietary code level price
- Provide access to field representatives so they are well versed in the coding of the product(s) and can provide information to providers on how to bill for a drug
- View NDC level pricing and data for your product as well as competitors’ products
