APCI Choice Clinical and Claims Management

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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/APCI serves as an intermediary to the Health Mart Atlas joint venture PSAO through regular collaborative meetings related to day to day functions of the PSAO and how third party contracts are negotiated.

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!


Features:

  • A host of specialized solutions, tailored just for APCI members
  • Proven reliability you can trust
  • Exclusive, value driven programs
  • Support staff backed by years of industry experience, focused on independent pharmacy
  • 24/7 access to secure web solutions
  • ResolveRx reconciliation services
  • Industry's lowest monthly fee

Benefits:

  • Increase the value of your current APCI membership
  • Expect higher profitability
  • Cash flow improvement
  • Easy claims reconciliation
  • Better utilization of pharmacy staff
  • Potential to increase customer base
  • Maintain competitive edge with national chains
  • Eliminate missing claims money

ResolveRx

Resolve Rx is a simple, easy to use organizational platform that will help you track down claims with the click of a button. No more searching through stacks of paper to find that unpaid claim - claims can now be accessed through the APCI website similar to the way you would look up Online Remittances.

Click here for more information on ResolveRx


PRO Wellness

Through CHOICE’s partnership with PrescribeWellness, the PRO Wellness dashboard offers a wide range of tools, including:

  • The Patient Engagement Center, a platform that offers pharmacies real-time snapshots of performance and opportunities. It allows pharmacy owners the ability to visualize and act on patient data to instantly see opportunities for better service, increased adherence, and revenue growth.
  • A Biometric Screening platform, a patient engagement center enhancement, that allows for the uploading of patients’ biometric data (height, weight, A1C, BMI) and integrates with patients’ medication profile.
  • A Medicare plan comparison tool that allows pharmacies to assist their patients in selecting the most appropriate plan for their needs.
  • Prescribe Care, an electronic care plan that allows pharmacies to participate in patient care coordination for improved health outcomes. Prescribe Care also allows for documentation of medication therapy problems and progress notes.
  • ALSO – as a CHOICE member you have access to additional resources – Pharmacy Growth Communication, Vaccine Complete, and Med Synchronization – through a bundled rate of $329 per month.