Contracting and Reimbursement
- Simplify pricing and coding
- Effectively manage and share formulary changes
- Evaluate specialty pharmacy performance
- Validate formulary and medical benefit contracts
Engage Thousands of
Key Payers with Pricing
and Coding Updates
The complexity of the medical billing and coding in U.S. healthcare system leads to an excessive number of errors from both HCPs and payers.
By partnering with MMIT and RJ Health, your team can deliver custom messaging to over 100 health plan clients, representing over 130 million covered lives.
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Inform
Increase market awareness of a new drug, new indication, new code and/or new pricing to our healthcare subscribers.
Reduce
Reduce denials through clear messaging on product pricing, coding or reimbursement updates.
Manage
Manage competitive pricing trends and how this intersects with product access in your landscape.
Ensure
Ensure timely and appropriate reimbursement for HCPCS and CPT coded products.
Solution
Pricing Submission Program
Let our experts submit pricing and coding to the four major industry pricing sources on behalf of your brand, ensuring that you meet the deadlines for the National Pricing Compendia.
Solution
Message Monitor
Message Monitor provides a “fly-on-the-wall” view of each visit between a pharma company and payer or IDN decision maker, producing actionable insights into competitor strategies and your message performance and brand perception.
Solution
Coverage Seach
Access detailed drug formulary status and medical policies with Coverage Search for iPad, iPhone, and Android devices.
