Pharmacy Audits:
Crystal Clear Rx Pharmacy Audit services will confirm that you are receiving pricing, service and your claims are being processed in accordance to your contract terms or not. Our systematic approach and priority audit software identifies discrepancies that we address and correct immediately. We analyze every transaction and provide you with clear reporting on how and where you can save money.
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CCRx audits for accuracy of invoice.
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CCRx confirms proper adjudication of benefit plan.
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CCRx identifies proper product selection of Generic versus Brand distribution.
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CCRx reviews claim accuracy.
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CCRx scrutinizes pharmaceutical dispensing and reimbursement process.
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CCRx confirms consistency with contractual and regulatory requirements.
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CCRx identifies and communications any failure to correct known deficiencies.
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CCRx identifies suspicious fraud or abuse.
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