Albert Einstein reportedly said, “Insanity is doing the same thing over and over again and expecting different results.” With this definition in mind, it’s time to acknowledge the insanity around the pharmacy paper bill process. Whether a prescription was filled out-of-network by a pharmacy or was dispensed from the physician office, a significant percentage of a payers’ workers’ compensation prescriptions end up as pharmacy paper bills. If these bills are not processed the right way and by the right vendor, they can negatively impact a payer both financially and clinically.
“Understanding and managing the paper bill prescription adjudication process is critical,” states Viviana Brantley, MyMatrixx by Evernorth® Chief Operating Officer. Just assuring that your paper bills are being processed is not the last expectation payers should have of their bill review vendor.
In the recent WorkCompWire Partner Post, Brantley and Liane Fritch, MyMatrixx by Evernorth Operations Director, describe why it’s important for payers to know:
- What they are being charged
- What services they are charged for
- What happens if there is missing info on the bill
- What is happening to the paper bill data
You’ll also learn how a typical bill review vendor’s process can lead to revolving paper bills and additional charges.
Read more to see how the MyMatrixx Paper Bill Management solution is different. Our process puts the needs and best interests of our clients and injured workers in the forefront, so they get the most from their pharmacy benefit management.