Direct Reconciliation

TOLL FREE: 888-800-DRUG

LibraRx Direct Reconciliation

The LibraRx Direct Reconciliation Program offers independent pharmacies with "transaction level" reconciliation using the same, state-of-the-art systems that chains use. LibraRx Direct compares data received from the pharmacy's switched data (paid claims response) to HIPAA mandated 835 electronic remittance advice submitted by third party payers. LibraRx Direct supports reconciliation with many of the third party payers that offer electronic claims remittance.
To participate in the LibraRx Direct Reconciliation Program, follow the link at the left titled "Enroll in LibraRx Direct now". For more information, please contact us toll-free at: (800)-460-1575 Option #4.

Here's what you can expect from our Third Party Claims Reconciliation:

Accurate reimbursement from contracted third party payers.
Weekly and monthly reports identifying those third party payers that have not reimbursed 100% of the owed amount.
Easy access to web-based remittance advice reports.

Best of all, payments will continue to be sent directly to your pharmacy!

Summary of Reports Through LibraRx Direct Reconciliation
The return on investment for participating in the LibraRx Direct Reconciliation program can be significant, and it is clearly stated on our reports. Once your pharmacy signs up with our program you will be assigned a unique log-in and password that you can use to access your pharmacy’s specific reports. Our reports are classified as follows:

Payment – Provides your payment history and the claim counts posted for each payer for the last 90 days. You can drill down to the claim level on this report as well.
Aging – Claims identified on this report are the claims captured from the switch that were not paid in the full amount agreed to by the third party payer. While PARTIAL PAY claims tend to be small, these claims collectively can result in substantial amounts over time. It is our practice to examine the cause of any particular payer to rule out improper charges such as unauthorized transaction fees or improper network discount reimbursements. This report tracks these claims 0 to 30 days (current), then at 31-60, 61-90, 91-120 and over 121 day increments. You can drill down to the claim level detail to examine individual claims that have not been paid.

Frequently Asked Questions

Questions? Call 1-800-460-1575, Option #4

Success Stories!
LibraRx Direct has identified funds on behalf of our member pharmacies that were either not paid or otherwise paid incorrectly and ensured funds were mailed directly to the pharmacies. We will continue to scrutinize these payers as well as the other payers in our program to make sure that our pharmacies are compensated correctly.

2010 LibraRx Direct recovered $48,590.11 in “lost” claims on behalf of our member pharmacies.
2009 our reconciliation program recovered $13,688.46 in “lost” claims on behalf of our member pharmacies.

To join the LibraRx Direct Reconciliation program, please complete our
Enrollment Form.
Upon acceptance of your application,
a pre-populated agreement will be sent to you for you to sign and return to LibraRx Direct.
Mail or fax completed form to:
LibraRx Direct
P.O. Box 26546
Shawnee Mission, Kansas 66225
or
Fax 913-661-0297
If you have any questions or problems filling out this form, please contact us at:
800-460-1575, Option #4.
and we will be pleased to assist you.

Direct Reconciliation services
"The reconciliation program is timely and thorough. We even performed an internal review and were very impressed with the completeness and accuracy of the Third Party Station reconciliation service.”
Gregory - New York

more testimonials >>

Contact Us
P.O. Box 26546
Shawnee Mission, Kansas 66225
1-888-800-3784
info@librarx.com