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RC Claim Assist Brochure
Learn more about MMIT’s RC Claim Assist solution.
Contracting and Reimbursement
- Simplify pricing and coding
- Effectively manage and share formulary changes
- Evaluate specialty pharmacy performance
- Validate formulary and medical benefit contracts
Quick and Accurate
ReimbursementCodes (RC) Claim Assist is a standalone provider-facing website, securely accessible from your Payer’s provider/network portal.
A step-by-step intuitive process allows for HCPCS/CPT®, NDC or Drug Name search of the entire RC Claim Assist database in 3 easy steps.
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Ensure
Ensure providers use correct NDCs to crosswalk to HCPCS/CPT® per payer NDC mandates.
Convert
Convert NDC codes to NDC units by supplying HCPCS/CPT® code.
Reference
Reference AWP and WAC pricing for each HCPCS/CPT® code. Information is easily convertible to claim form and kept organized in drug cards.
Smooth
Smooth access to medically covered therapies by reducing drug abandonment due to billing issues.
RELATED SOLUTIONS
Solutions to Support Your Strategy
Navigator
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.
Medical Drug Lists
We provide an intuitive workflow application that enables health plans to manage and publish medical drug lists so providers can administer therapies and treatments with full transparency, minimizing claim denials and HCPCS to NDC conversion errors.
ReimbursementCodes
Streamline claims workflows with our industry-leading data and workflow applications for medical coding, pricing, and reimbursement.