FINANCIAL EXPERIENCE

Protected. Captured. Optimized.

How can pharmacies protect and optimize revenue?
Pharmacy margins are under pressure, and too much earned revenue never makes it to the statement. Underpaid claims, unbilled clinical services, slow reimbursement, and manual reconciliation all create financial leakage that compounds over time. EnlivenHealth’s Financial Experience mangement software helps pharmacies identify what is slipping through the cracks, capture what they have earned, and optimize the cash flow that supports a healthier business.
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How can pharmacies find missing payments and underpaid claims?

Underpayments, missing claims, and slow-paying payers can quietly drain revenue long
before they show up as a larger cash flow problem. Financial Experience gives pharmacies
the visibility to see where reimbursement is delayed, incomplete, or at risk, then prioritize the
actions that help accelerate payment, reduce reconciliation errors, and recover more of the
revenue they have already earned.

Products

RECONCILE

Visibility and viability.
Improve payment accuracy and speed cash flow.

Simplify complex reimbursement methodologies into actionable insights. Identify underpayments, missing claims, and slow-paying payers — and prioritize the actions that accelerate reimbursement. Less manual effort. Fewer reconciliation errors. More cash flow you can count on.
  • $1M+ recovered annually in unpaid claims at sample pharmacies
  • 20% reduction in claim issues with centralized oversight
  • Live, real-time support with immediate answers
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BILL

One system for pharmacy and medical billing.
Manage medical and prescription billing in one unified platform.

Bill Medicare, Medicaid, and commercial payers for clinical services. Connect clinical workflows directly to reimbursement — so the revenue your team is earning doesn't have to be chased separately from the work itself.
  • 22% more revenue per claim with advanced billing features
  • $40+ return per claim through expansion into clinical services
  • $60K+ annual savings at one customer through eliminated billing specialist need
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MATCH

The right plan at
the right moment.
Guide patients through Medicare plan decisions with confidence.

Compare plans across cost, coverage, and network alignment. A patient-facing portal for review and enrollment. Identify options that reduce cost while keeping patients connected to their trusted pharmacy.
  • 3.5x more patients helped during Medicare AEP
  • ~$400 in additional retention value per patient
  • Up to 60 additional appointments per AEP at participating pharmacies
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MY CARE

Changing what's possible for clinical expansion.
A first-of-its-kind, centralized view of scope, reimbursement, and billing requirements by state and payer.

AI-enabled guidance simplifies complexity into clear, actionable answers. The foundation for scalable clinical programs — and the speed to launch them when it matters.
  • Up to $27,000 in new service revenue per pharmacy
  • Clinical service launch accelerated by 1 to 3 months
  • Centralized intelligence across state and payer rules
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For Pharmacies, Health Plans & Payers, and Pharma Manufacturers

Retail Pharmacy
Standardize financial performance across locations.
Simplify complex financial workflows, identify underpayments and missing claims, accelerate reimbursement, and gain clearer visibility into revenue, margin, payer performance, and cash flow
across the business.
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Community Pharmacy
Protect the revenue your pharmacy cannot afford to lose.
Our Financial Experience helps community pharmacies reduce manual reconciliation, find missing payments, capture reimbursement for clinical services, and make more confident financial decisions with clearer visibility into claims, payers, revenue, and cash flow.
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Outpatient Pharmacy
Connect clinical work to
reimbursement.
What if your outpatient pharmacy could manage prescription and medical billing in one platform, support reimbursement for clinical services, monitor AR and cash flow timing, and measure the financial impact of medication and clinical programs? Our Financial Experience gives you all that and more.
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Healthcare Partners
Turn pharmacy performance data into clearer action.
EnlivenHealth’s Financial Experience gives pharmacy partners visibility into reimbursement trends, payer performance, claims activity, revenue opportunities, and financial outcomes across the pharmacy network, helping teams identify risk, measure impact, and optimize performance at scale.
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How much revenue can pharmacies
recover with better financial workflows?

CASE STUDY

EnlivenHealth Helps a Nonprofit Health System Successfully Navigate PrEP & 340B Billing Changes


    After CMS announced that PrEP would be completely covered by Medicare Part B, a respected nonprofit healthcare system jumped at the chance to help their patients get the HIV prevention they need. But when other vendors were unable to bill with 340B modifiers, the health system turned to EnlivenHealth.

    Working together, EnlivenHealth was able to help the health system navigate PrEP billing and successfully submit claims for their patients.
    Read the Case Study
    See what financial performance looks like when nothing slips through.
    Book demo