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APCI CHOICE is the evolution of clinical services and claims management for independent pharmacy!
CHOICE Clinical & Claims Management is the name of the new claims management and clinical services division of APCI! Formerly known as American Pharmacy Network Solutions (APNS), CHOICE will continue to provide the customer service and personal relationships APCI members have come to expect, and offers the following services:
ResolveRx: ResolveRx reconciliation ensures third-party payments match the claims processed during adjudication, down to the claim level.
PRO Wellness: Through CHOICE’s partnership with PrescribeWellness, the PRO Wellness dashboard offers a wide range to tools and information to members.
Pre/Post Edits: Automated actionable claim messaging enables a pharmacy’s staff to make faster, more informed decisions needed to improve revenue potential and productivity.
Medversant: CHOICE’s partnership with Medversant provides continuous roster monitoring for licensing, DEA, OIG, SAM, and state sanctions.
Comprehensive Audit Prevention Services (CAPS): CAPS is designed to equip independent pharmacies with the assistance and tools needed to successfully navigate through the audit process.
Joint Venture Management of Health Mart Atlas: CHOICE will serve as an intermediary to the new Health Mart Atlas joint venture PSAO. While specific roles and responsibilities have not yet been established, CHOICE Clinical and Claims Management expects to receive valuable insight regarding quality and clinical initiatives.
Chronic Care Management: Chronic Care Management is a patient care model centered around Medicare Part-B billable services, including transitions of care, medication reconciliation, and chronic care management. Chronic Care Management services require a mechanism for submitting medical claims for Part-B reimbursement, typically in conjunction with a collaborative agreement with physicians.
Telemedicine: As healthcare evolves, pharmacy integration and telemedicine kiosks can allow pharmacies to become healthcare destinations, providing real-time, on-demand health services using the latest technology for connectivity.
Our ability to respond personally and quickly to our members' needs sets us apart from other providers. Every Choice staff member is an expert in their field, and we're here to guide you. Whether it is by telephone, via remote desktop computer tutorials, or through one-on-one sessions with our staff, Choice develops lasting relationships with our community pharmacists!