Fee Scheduler

Simplify Your Drug Fee Schedule Workflow

Many payers are challenged by the manual process of managing fee schedules, especially with larger health plans that may have dozens of even hundreds of custom fee schedules.

As an extension of ReimbursementCodes, Fee Scheduler is the first product in the market to provide both a reference database with pricing methodologies in conjunction with a workflow application that enables the build of configurable fee schedules.

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Manage

Manage fee schedules in accordance to dozens of contracts with providers and pharmacies.

Establish

Establish a central location where fee schedules and derivations can be managed to improve efficiency.

Reduce

Reduce the dependency on internal technical resources to manage complex fee schedules.

Create

Create fee schedules by drug type to optimize medical drug spend.

Features

How We Help

Fee Scheduler allows your team to create and manage fee schedules within a single application based on appropriate pricing methodologies that map to each contract and use case.

Select

Allow your team to select pricing methodologies to reimburse medically covered pharmaceuticals based on contracts.

Apply

Easily backfill rates that are not yet published to apply secondary and tertiary rates.

Enable

Enable your team with a single tool to reduce manual efforts.

Develop

Develop fee schedules that align with your contracts.

Slide 1

Insurer, Specialty Pharmacy Rely on RJ Health to Price Drugs Correctly

RJ Health examines what happened when one large regional health insurer shifted to billing at the NDC level – and what surprised them when providers attempted to do so.

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Navigator is the leading formulary management and publishing solution, enabling pharmacy teams to manage how drugs are covered and communicate that coverage clearly to providers and patients.

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