Audience
Independent pharmacy owners and small pharmacy groups in the US who need to reconcile insurance claims against wholesaler invoices, catch NDC swaps and PBM underpayments, file MAC appeals, and prepare for PBM audits.
About RxDelta
RxDelta is automated billing reconciliation software for independent retail pharmacies and small pharmacy groups in the US.
Every month a pharmacy bills thousands of claims and buys thousands of items from wholesalers, and the two rarely line up. The NDC billed to the insurer is often not the NDC purchased, quantities come up short, and some PBMs reimburse below acquisition cost. Finding these by hand takes hours in spreadsheets.
RxDelta takes your billing export and your wholesaler invoice files, matches them line by line at the NDC and package-size level, and returns a reconciliation report in under 3 minutes. It surfaces NDC swaps, shortages and overages, and reimbursement below acquisition cost, broken out by PBM and BIN.
Works with PrimeRx, Liberty, PioneerRx, Rx30, Computer-Rx, BestRx, QS/1, and McKesson Pharmaserv, plus any system that exports CSV or Excel.
Starts at $199 per month per pharmacy, no long-term contract.