Independent Pharmacy Claims Management, Purpose-Built for Better Reimbursement and Fewer Headaches

• Pre- and Post-Edit Services
  Catch costly errors before they happen. Automated, actionable claim messaging helps pharmacy staff to make faster, more informed decisions needed to improve revenue potential and productivity.
• ResolveRx Reconciliation Platform
  APCI’s ResolveRx platform helps you track payments from PBMs and payers with accuracy. Our reconciliation service ensures third-party payments match the claims processed during adjudication, down to the claim level.
• Pharmacy Help Desk Support
  The APCI Choice staff provides member pharmacies with superb customer service, resulting in personal relationships they’ve come to expect.

APCI Choice members also have access to OneQ, APCI’s proprietary platform designed to help independent pharmacies identify actionable opportunities across purchasing, prescription data, clinical services, and claims reconciliation.

OneQ gives pharmacies a practical way to review potential savings and performance opportunities, including inventory returns, discounted generics, inventory exchanges, NPI reviews, DAW reviews, NDC reviews, clinical opportunities, and more.

Through OneQ, APCI Choice members can also better understand and manage the ResolveRx claims reconciliation process. The platform helps pharmacies track payments, identify potential issues, and manage follow-up with greater confidence.

• ResolveRx Claims Reconciliation
  Track payments, review reconciliation activity, identify issues, and manage follow-up through APCI’s ResolveRx process.
• Clinical Service Opportunities
  Identify opportunities that may support expanded clinical services and stronger patient engagement.
• Prescription Data Reviews
  Use OneQ to evaluate key prescription data points, including NPI, DAW, and NDC review opportunities.

By using OneQ regularly, Choice members can gain better visibility into opportunities that support smarter purchasing, stronger reimbursement oversight, and improved pharmacy performance.

In today’s pharmacy landscape, strong pharmacy claims management is critical. Inaccurate or delayed reimbursements can make or break your margins. APCI Choice and ResolveRx equip your pharmacy with the support needed to:

• Quickly verify that reconciliation of the 835 files and claims match the payments received in your bank account
• Reduce the risk of recoupments through Pre/Post edits
• Free up staff time for patient care

APCI Choice delivers claims management support with exceptional value for independent pharmacies. When compared with other options in the marketplace, APCI Choice offers a strong combination of tools, service, expertise, and savings designed specifically for community pharmacy.

Every part of APCI’s claims management program is designed for the unique needs of community pharmacies. We integrate seamlessly into your workflow, helping you protect your revenue without sacrificing your focus on patients.