About Us.

AccessHealth

AccessHealth is the managed care back office for more than 3,700 independent pharmacies, nationwide, including over 2,000 Health Mart pharmacy franchisees. Since 1994, AccessHealth has been helping member pharmacies obtain and manage third party contracts, improve revenue cycles, and decrease time spent hassling with reimbursement issues.

Availity

Availity is a national leader in health information exchange that helps the health care system run faster and better. Availity connects providers, plans and practice management systems with essential business and clinical information to streamline care delivery, drive productivity and lead to better patient experiences. Not only can Availity customers reduce their administrative costs, the company helps both providers and health plans make health care about patients, not paperwork.

Availity optimizes information exchange among health care stakeholders through a single, secure network that encompasses business and clinical services. The network processes more than one billion transactions a year, and supports both real-time and batch electronic data interchange (EDI) via the Web and through business-to-business integration with partners such as OmniSYS. Connectivity to more than 1,300 health plans is available through Availity's claims clearinghouse service.

Inmar

Inmar connects trading partners through consulting, software services, and operations. We are a trusted partner focused on driving sales and bottom line performance through a combination of technology and people. We make the connections in...

• Supply Chain- Returns, Asset Re-marketing, Recalls
• Consumer Marketing- Digital Promotions, Coupons, Rebates, Sweepstakes, Fulfillment
• Business Intelligence- Promotions, Returns, Pharmacy Claims, Recalls
• Financial Settlement- Transaction Settlement, AR/AP Outsourcing, Claims Reconciliation
• Risk Management- Recalls, Contract Management, Promotions Risk Management, Logistics Risk Management

Our integrated solutions improve quality, efficiency, business intelligence and collaboration and allow you to focus on your core business.

RelayHealth

RelayHealth manages the nation's largest pharmacy network that helps pharmacies improve their financial and operational performance in four very unique ways. With RelayHealth solutions, pharmacies can:

1. Improve pharmacy workflow and efficiency by automating the prior authorization requests process reducing the need to fax or call a physician office for resubmission to the health plan
2. Increase third-party reimbursements and payments using our pre/post editing and AWP resubmission services.
3. Increase patient adherence using our eVoucher co-pay assistance solution
4. Reduce medication errors and improve patient wellness through streamlined compliance with REMS requirements and real-time adverse drug interaction alerts

For more information, visit relayhealth.com, keyword "Reimbursement Performance".

Veridikal

Veridikal is a margin optimization pharmacy management company focused on net revenue and driving performance improvement. Veridikal provides the next generation of business analytical tools with a comprehensive financial dashboard. The Advanced Business Analytic System with Integrated Pre/Post Editing provides a complete end-to-end solution for providing meaningful and actionable messages to improve claim quality and staff productivity including but not limited to:

• Reimbursement Monitoring
• Drug Optimization
• Carrier Formulary Management
• Denial Management
• Contract Management
• Maximum Recovery
• Facility Management with Part A Services

Veridikal's customized business edits rules meet each customer's needs. Veridikal's edits dictionary is selected from over 300 business edits.

One of Veridikal's strengths is the ability to provide in-depth data documentation, combined with the use of proprietary data mining techniques. These processes help to drive incremental revenue recoveries in existing audit areas, while providing additional revenue in newly identified audited areas.