Pharmacy Billing Services

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Outsource Your Pharmacy Billing Process to DigiMedix

Billing for the pharmacy services has a regulatory framework in which many players exist as the pharmacies are located at various locations. But, sometimes, these might act as factors that hinder the accuracy that prevails in such services. Sometimes there is a lack of resources or delay in adopting adequate technology which can delay the entire billing process. The marketspace has a lot of competition and hence, at DigiMedix, we ensure in facing the challenges with expertise.

We ensure accuracy in smoothening the pharmacy management. One of the most salient features of our services is that we help in reducing the operational cost to a great extent. Our team of billers complies with the rules and guidelines as laid down under HIPAA compliance. We take steps that offer accuracy in billing and claim reimbursements.

We Ensure
Pharmacy Billing

We move forward with an adaptive approach for care billing codes that allow us to cover the bills of patients who have been discharged.

We opt for different processes that ensure reduced chances of rejections.

We comply with the CPT codes and coding guidelines to ensure error-free billing.

We ensure HCPS coding drugs are only purchased.

Our process

Details Receipt

Receiving and accessing the details received through FTP tools, followed by negotiations for discounts

Verification of details

Verification of details and patient’s documents collected.

Document Verification

Processing the data for medication refill check for understanding the drug quality.

Drug Refill Verification

Identifying the prescribed drug’s brand.

Identifying Prescribed Drugs

Placing and tracking the order followed by billing management.

Placing the Order

We place the order in our client’s software, copies of which are sent to the patient and the insurance provider.

Tracking the Order

We ensure a prompt delivery of the consignment to the patient; any issues are quickly escalated to the logistics team.

Billing Management

Post receiving payment checks, we update the billing software and trigger reminders for payment due dates.

What all fall under our pharmacy billing services


Employing resources for carrying and admitting all the crucial information. Our team believes in authentication and thus, makes efficient use of resources to extract and retrieve information that is reliable for the billing services. Also, our team cross-verifies the information for authenticity and preventing any risk of wrong data entry.

Daily Census Updates

Collecting all the relevant information and documents when a medical claim has been made. Our team does not only deal with collecting the patient’s information but also when the issue for a claim has been raised. We make sure to collect information so that there is no discrepancy and errors while filing for a reverse.

Pre-Authorization Data Management

Taking prior steps for authorization and management of the data collected. Our team has specialization and training to make sure that the information that is being entered is correct. Our team takes prior steps for the constant verification of the data and updating quickly in case of any changes.

Refill Management

We deploy our professionals to aid patients who are in need of it and don’t have any support through the whole pharmacy billing process. Also, our team makes sure to revisit the customers who are in need of quick and accurate medicine refills. This helps in building a strong and cordial relationship for the future.

Accounts Receivable Follow-Up

We follow up on the accounts due to be received. Our team is trained to get regular followup on the clients who have outstanding payments. Also, our team is trained to handle situations like spotting duplicate documents or any kind of discrepancy in the existing ones.

Payment Posting

Through our clinical pharmacy billing services, our main motive is to involve a workforce that delivers results within the budget of an enterprise. We implement the cutting-edge technologies that allow us for the automation of billing services. Also, we aim to render solutions that ensure that the reimbursements are accounted for in an accurate manner and on a timely basis. This reduces the time invested in data entry.

Specialties We Deal

  • Acupuncture
  • Allergy / Immunology
  • Andrology
  • Anesthesiology
  • Audiology
  • Bariatrics
  • Cardiology
  • Clinical Virology
  • Dentistry
  • Dermatology
  • Emergency Room
  • Emergency Medicine
  • Endocrinology
  • Environmental Medicine
  • ENT Neurology
  • Family Medicine
  • Forensic Medicine
  • Gastroenterology
  • Genetics
  • Geriatrics
  • Hematology
  • Internal Medicine
  • Infectious Disease
  • Mental Health
  • Neonatology
  • Nephrology
  • Neurology
  • Nuclear Medicine
  • Occupational Therapy
  • Obstetrics/Gynecology
  • Occupational Medicine
  • Otolaryngology
  • Ophthalmology
  • Optometry
  • Orthopedics
  • Osteopathy
  • Otolaryngology
  • Pain Management
  • Pathology
  • Pediatrics
  • Plastic Surgery
  • Psychiatry/Psychology
  • Radiology
  • Physiotherapy
  • Plastic Surgery
  • Podiatry
  • Preventive Medicine
  • Pulmonology
  • Rehabilitation Medicine
  • Reproductive Medicine
  • Rheumatology
  • Speech Therapy
  • Sports Medicine
  • Urology
  • Vascular Medicine

Clients Latest Feedback

FAQ's on Pharmacy Billing Services

What does mean of Revenue Cycle Management (RCM)?

Revenue cycle management (RCM) is the financial process, utilizing medical/clinical billing software, that healthcare facilities use to track patient care encounters from registration and appointment scheduling to the final payment posting.  As a leading RCM Company DigiMedix will assist physicians to maximize their revenue and minimizing their efforts on billing tasks.

How will RCM in Medical Billing Solutions Help Medical facilities?

Key reasons for outsourcing revenue cycle management business to a third-party vendor is increasing physicians review and minimize medical facility’s staff effort on data processes so that they can take care their patients.

Why is Revenue Cycle Management Important Process?

RCM is an important process because it ensures uninterrupted cash flow for the medical service provider. It simplifies the medical billing and collection cycles, by registering, appointing, scheduling, processing the payment, and payment posting.

The process is also responsible for minimizing the amount of denied claims by revising and resubmitting denied claims and following them up with patients on receivables.




HIPAA Compliance


Clean Claims On First Submission


Increase in Collections

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