eRecon: Claims Reconciliation

Drive Operational Excellence with eRecon

AlignRx understands the pharmacy business inside and out. We know that as an independent pharmacist, your survival requires focusing as much on your business operations as patient care and clinical services.

That’s why we built eRecon.

eRecon is the industry’s leading claims reconciliation and accounts receivable solution. Transaction-based, eRecon meets generally accepted accounting principles (GAAP), allowing for transparency and consistency in financial reporting.

Our web-based solution combines technology with outstanding customer support to help drive operational excellence for your pharmacy—whether you have one pharmacy or several.

 

Benefits

  • Heightened Profitability
    eRecon helps ensure you’re getting correctly reimbursed for every claim and that you aren’t being shorted due to payor error or oversight.
  • Improved Efficiency
    eRecon takes the bulk of claims reconciliation off your hands, easing administrative burden and freeing you up to concentrate on patient care and clinical services.
  • Identification of Missing Claims Payments
    Our eRecon team carefully monitors and evaluates every claim payment. Whenever there is a discrepancy, we contact payors to recover funds that have not been fully paid to you.
  • Anytime, Anywhere Access to Information
    eRecon is a secure, web-based solution that allows you the flexibility to log in at your convenience.
  • Excellent Customer Support
    Our USA-based customer support team is fully trained in eRecon and available to provide you with answers, insight, and guidance.

 

Features

  • Automated reconciliation of 835 data and claims data lets you monitor claims that are unpaid, underpaid, and/or recouped.
  • Hand-reconciliation of paper remits is completed as needed by our team.
  • Chase service tracks missing payments.
  • Transactional-level detail provides transparency into PBM behavior and lets you view money coming in and out for each specific transaction.
  • Monthly accounting reports of paid claims can be used for tax and auditing purposes.
  • Accounts receivable screen shows up-to-date claim transactions and detailed aging reports.
  • Check register provides full visibility into reconciled deposits, helping you verify all third-party payments have been deposited to your bank account.
  • Options for multi-pharmacy owners allow you to aggregate and report on multiple pharmacies.
  • Provider-level adjustment reporting displays a breakdown of PBM fees, adjustments, and DIR fees.

More Services

Compliance Guardian

ClaimGuard

Payor Contracting

eRecon Claims Reconciliation

Direct Contract Consulting

RxProtect Audit Protection

Clinical Connection

Central Pay

Clinical Services