Frequently
Asked Questions
How do I enroll in the LibraRx Direct Reconciliation
program?
Pharmacies interested in participating in the LibraRx Direct
Reconciliation program will need to contact LibraRx Direct
toll-free at (800) 460-1575 option 4 for a new contract.
Upon completion and return of the contract, we will enroll
you in our program and notify the payers appropriately.
Do you receive my payment for the plans you reconcile?
No. Payment will continue to go directly to your pharmacy.
How do I know what money is owed to my pharmacy?
LibraRx Direct provides an Aging Report on our website for
each individual pharmacy’s records. All unpaid claims
pertaining to payers that are enrolled in the reconciliation
program are tracked on our Aging Report for your pharmacy’s
records. Pharmacies enrolled in our Reconciliation Program
can view the Aging Report by logging on to our website.
At what point does LibraRx Direct contact the third
party payer regarding unpaid claims?
LibraRx Direct continuously works with the third party payers
to ensure that our pharmacies are paid in a timely manner.
However, if a pharmacy has claims that have not been paid
within 30-45 days, LibraRx Direct will work closely with
the payer and the pharmacy to ensure that payment is promptly
sent to pharmacy.
| What is the price of the LibraRx Direct Program? |
| Up until the program reconciles for at least 75 payers |
$85/month |
| After 75 payers |
Level 1 (1-1,000
reconciled claims per month) |
$125/month |
| |
Level 2 (1,001-2,500
reconciled claims per month) |
$185/month |
| |
Level 3 (2,501-6,000
reconciled claims per month) |
$250/month |
| |
Level 4 (6,001–10,000*
reconciled claims per month) |
$280/month |
*Over
10,000 claims per month, contact us.
*Additional $20.00 per month for select switch vendors. |
What happens if pharmacies receive payment prior
to LibraRx Direct receiving the remittance?
Pharmacies will need to log onto the LibraRx Direct website,
select “Add A Remit Check” and fill in the required
fields. Once the check has been successfully submitted it
will display “Thank you. Your information has now been
sent to LibraRx Direct.” Once the remittance is received,
the LibraRx software will reconcile the claims on that payment.
When can I terminate this agreement?
You can terminate with LibraRx Direct at anytime by giving
a 30-day written notice. The pharmacy manager and/or owner
can mail or fax the LibraRx Direct termination form to our
reconciliation department.
If LibraRx Direct is notified by the 5th of the month, your
pharmacy will be removed by the 1st of the following month.
Do you reconcile all of my third party plans?
While LibraRx Direct does not reconcile for all third party
payers there is a generous number of payers that we do
reconcile. The list of third party payers included in our
reconciliation program can be found on the LibraRx Direct
website. Go to www.librarxdirect.com and, select "Enrolled
Plans."
How long does it take to setup my pharmacy with
LibraRx Direct?
LibraRx Direct processes the majority of pharmacy enrollments
within one business day of receiving a completed agreement.
Third Party Payers will be contacted upon receipt of completed
agreement.
If LibraRx Direct receives your completed Agreement by
the 5th of the month, your pharmacy will be uploaded by
the 1st of the following month.
What changes do I need to make in my pharmacy system?
None.
Do I have to use a certain software system or “preferred” switch
company?
No.
Do reconciliation programs work?
Yes.
How much can a reconciliation program bring back
to my pharmacy?
National surveys suggest reconciliation programs can bring
back .05% to 2.0% in “lost” third party reimbursement.
|
