Pharmacy Billing Services
Prescription claims, prior authorizations, and PBM reconciliation handled in one place.
Overview
Pharmacy billing runs on a tighter clock than most specialities - real-time adjudication, PBM-specific formularies, and prior auth windows that can hold up a fill. AspireMedX keeps claims moving through that pipeline and reconciles what PBMs actually pay against what was billed.
Where claims usually go wrong
Most pharmacy revenue leaks through rejected claims that never get resubmitted and reimbursement rates that quietly drift from the contracted rate. We chase both - same-day rejection turnaround and a running check against PBM contracts.
What we handle
- ✓Real-time claim adjudication and rejection resolution
- ✓Prior authorization requests and appeals for non-formulary drugs
- ✓PBM contract and reimbursement rate reconciliation
- ✓340B and specialty pharmacy claim workflows
- ✓Patient copay assistance and coordination of benefits
Talk to us about pharmacy billing services
info@aspiremedx.com · +1 (716) 242-2898
Other specialities
Internal Medicine Billing
Complex adult care and multi-condition visits, coded to match documentation.
Learn moreFamily Medicine Billing
Preventive care, chronic disease management, and referrals, billed without missing revenue.
Learn moreCardiology Billing
High-cost diagnostics and procedures, billed with the prior authorization to back them up.
Learn more