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What is RxDelta?

RxDelta is an innovative automated solution crafted for billing reconciliation, specifically aimed at independent retail pharmacies and small pharmacy groups throughout the United States. Every month, these pharmacies handle thousands of claims and source a wide array of products from wholesalers, which frequently leads to inconsistencies between the two operations. Challenges such as mismatched National Drug Codes (NDCs), discrepancies in quantities, and inadequate reimbursements from Pharmacy Benefit Managers (PBMs) can transform the manual reconciliation process into a labor-intensive and lengthy endeavor, often consuming several hours in spreadsheet calculations. With RxDelta, pharmacies can effortlessly upload their billing exports and wholesaler invoices, enabling the software to perform a detailed line-by-line match based on NDC and package size. In less than three minutes, users obtain a thorough reconciliation report that identifies NDC swaps, shortages, overages, and cases where reimbursements are below the acquisition cost, all organized by PBM and BIN. The platform is compatible with numerous pharmacy management systems, including PrimeRx, Liberty, PioneerRx, Rx30, Computer-Rx, BestRx, QS/1, and McKesson Pharmaserv, while also accommodating any system that provides CSV or Excel export functionalities. Starting at a reasonable monthly fee of $199 per pharmacy, RxDelta does not require long-term contracts, making it an attractive choice for those aiming to optimize their billing practices. Furthermore, the implementation of RxDelta significantly reduces time spent on reconciliations and bolsters the accuracy of financial reporting for pharmacies, ultimately contributing to improved operational efficiency. This comprehensive solution not only alleviates the burdens of manual billing but also empowers pharmacies to focus more on patient care.

What is Miramar?

Miramar: Enroll provides a robust intake and verification system that operates across multiple channels, smoothly connecting with CMS and allowing for real-time distribution of work queues. With a strong operational synergy with health plans, we recognize the critical elements necessary for a successful Medicare plan administration solution. Our bespoke enterprise platform, Miramar, is equipped with dynamic workflows, advanced work queue features, SmartWizard tools, automated alerts, and reconciliation metrics that outshine the offerings of many conventional software providers. Successfully running government-sponsored health plan operations requires excelling in everyday management responsibilities. Through our tailored software solutions, you can focus on the key aim of refining processes to boost efficiency and ensure compliance. From managing data reconciliations to overseeing your sales workforce and tracking compliance, our solutions are crafted to seamlessly integrate with your current technological setup, allowing for swift activation of your teams and a notable enhancement of overall productivity. Moreover, utilizing our platform will empower you to adeptly handle the intricacies of Medicare administration, ensuring your organization remains flexible and responsive to evolving demands while staying ahead in a competitive landscape. In doing so, you will not only improve operational workflows but also foster a culture of continuous improvement within your organization.

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Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

$199/month/pharmacy

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Online Training

Training Options

Not specified

Company Facts

Organization Name

RxDelta

Date Founded

2026

Company Location

United States

Company Website

rx-delta.com

Company Facts

Organization Name

Convey Health Solutions

Date Founded

2001

Company Location

United States

Company Website

conveyhealthsolutions.com/medicare-enrollment-software/

Categories and Features

Medical Billing

Not specified

Reconciliation

Not specified

Categories and Features

Medical Billing

Not specified

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