Contracting and Reimbursement
- Simplify pricing and coding
- Effectively manage and share formulary changes
- Evaluate specialty pharmacy performance
- Validate formulary and medical benefit contracts
Powerful Tool for Drug Claims and Reimbursement
ReimbursementCodes provides a normalized dataset of industry standard special drug pricing, coding and clinical data. This powerful tool helps enable payer organizations to reimburse claims accurately and timely.
Learn How to Access ReimbursementCodes
Identify
Identify pricing and coding updates for drugs covered by the medical benefit.
Reduce
Reduce incorrect payments or submissions due to incorrect coding.
Satisfy
Satisfy rebates with a single drug unit conversion tool.
Complete
Complete HCPCS to NDC crosswalks.
Discover More About ReimbursementCodes
With ReimbursementCodes, your team will gain access to a normalized dataset of industry standard specialty drug pricing, coding and clinical data. This information will streamline your operations and lead to a decrease in errors.
WHATS NEW
Keep Up-to-Date With Key Insights From MMIT
Medical Reimbursement/Billing Challenges Faced by the Market Are Only Growing
Learn how claims reimbursement is currently being managed, as well as some best practices for leveraging specialty drug data to streamline the process.
NDC Mandate Management
RJ Health, an MMIT company, conducted a survey on NDC mandates. In 2016 and 2021, we asked payers questions such as how they are managing NDCs and who performs unit conversions. We compiled these results.
Add RJ Health to Your Strategy
Our industry standard data can answer your top business questions. Learn how our data files can help your team.
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.