Community Retail Pharmacies
Long Term Care Pharmacies
Retail Chain Pharmacies
Products
- Contract Assure
  Contract Assure is an exclusive tool for MHA members which verifies that LTC pharmacies are paid according to your MHA Long Term Care Network negotiated, contracted rate for Medicare Part D plans, enabling you to recover missing revenue.
- EditRx
  EditRx is an enhanced claims analysis service that uses proprietary analytics, with support from a dedicated Reimbursement Analyst, to enable pharmacies to detect and correct billing and database errors, resulting in increased profitability.
- Metric-Rx
  Metric-Rx is a business analytics platform offered within the Net-Rx suite of reimbursement solutions providing key performance indicators such as profitability, utilization and comparable metrics to help your pharmacy make informed business decisions.
- Price-It Rx
  Price-It Rx is a prescription pricing tool that delivers real-time cash/private pay pricing consistent with the market, allowing a pharmacy to manage profits and market services to non- and underinsured patients and maintain internal efficiencies.
- RecRx
  RecRx is a unique pharmacy claims reconciliation tool designed to address the challenges faced by pharmacies with accurate and timely insurance reimbursements according to the agreed amount from adjudication.
- Reimbursement Suite
  Reimbursement Suite is a comprehensive suite of solutions that works together by detecting billing/database errors, identifying underpayment of claims, and providing an actionable view of data-driven insights.
- Script-IQ™
  Script-IQ™ is a solution designed for long-term care pharmacies to transform the claim quality checking process by detecting and correcting errors before the transaction hits the switch or payer, helping to deliver improved reimbursements.
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About Us
- About Net-Rx
  Net-Rx specializes in providing operational and technical solutions exclusively for pharmacies.
- Our Team
  Meet the team of industry-recognized experts, ready to help solve your pharmacy needs.
- News and Events
  Read the latest news about Net-Rx and find upcoming events where you can meet members of our team.
- FAQ
  Net-Rx Frequently Asked Questions
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Contact and Support

Net-Rx Recent News

When Do I Use a DAW Code?

DAW codes are an important part of pharmacy billing and the code used in the prescription will factor into how the third party reimburses the pharmacy. Know what the DAW codes are, how they affect claim adjudication, the impact to your bottom line and technology solutions that can identify potential errors or missed opportunities. These solutions work as safeguards to catch potential errors or missed opportunities both before and after adjudication to help you get paid accurately for what was dispensed.

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Exploring Complexities and Solutions for Various Types of Split Billing

Split billing can introduce many subtle but complex scenarios and the coding can unexpectedly impact reimbursement and pharmacy workflow. This article discusses the different types of split billing and coverage codes to review before, during, and after adjudication to help reduce underpayment and losses.

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Prescription Claim Billing – Benefits of a Pre and Post Edit Solution

When it comes to optimizing prescription claim billing with third party payers and PBMs, effective use of both pre edit and post edit solutions can improve pharmacy revenue. This article discusses the benefits of each solution and how having both can help create a win-win by protecting the revenue you already earned and opening time for your team to grow the business.

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DIR Fees - Do you know what they are and why transparency matters?

DIR fees have long been a concern for pharmacies. These fees have steadily increased over the last few years with no end in sight and no little to no transparency. In this article, we define DIR fees, how it affects pharmacies, and why transparency is important.

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What is Pharmacy Reconciliation?

In this article we discuss pharmacy claims reconciliation, managing electronic remittance advices, and tracking outstanding payments.

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Net-Rx Events

Pharmacy Development Services (PDS)Date: May 20-22, 2021
Location: Virtual

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