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Econcile: Claims Management & Reconciliation For Pharmacies

Get peace of mind by safeguarding the financial side of your pharmacy.

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Efficiently Manage Third-Party Receivables and Payments on Prescription Claims

EnlivenHealth’s proven pharmacy claims reconciliation solution is a cost-effective way to assist your pharmacy staff in managing third-party receivables and payments on prescription claims. Think of it as an insurance policy for the financial side of your business. Make better business decisions by always knowing how much of your revenue is in your hands and how much is tied up in the reimbursement process.

0%

of prescription revenue is tied up in reimbursements

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was the average cost community pharmacies endured from audits in 2020

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of pharmacists cite problems with reimbursement as a barrier to running a successful business

EnlivenHealth® Econcile: The Full Pharmacy Claims Reconciliation Solution

Econcile pharmacy reconciliation services (previously under the FDS brand for reconciliation) enables your staff to identify missing checks and underpaid claims which will help you keep a firm handle on your receivables balance with secure online reporting. With a third party pharmacy reconciliation solution like Econcile, you can stop leaving money on the table by having to use time-consuming and error-prone manual processes to chase down reimbursements. Econcile leverages the power of analytics and online reporting to identify slow-paying third parties, missing claims payments or checks, and partially paid claims.

Econcile Complete

Econcile Complete encompasses all aspects of pharmacy payment reconciliation by entering all payments, generating finance reports, and chasing claims on your behalf. A dedicated reconciliation analyst helps you spend more time with your patients and less time chasing down payments.

Econcile Auto

We automatically collect 835 files from payors, match your posted payments to prescription claims, and provide you access to the same platform used by our expert reconciliation analysts so your pharmacy claims processing workflow is not disrupted.

Econcile from EnlivenHealth® helps you cost-efficiently manage the following types of pharmacy claims:

  • Claims Analysis YTD – Claims by payer distributed by calendar month
  • Claims by Payer – Claims totals by payer
  • Claims Detail – Third-party sales detail by transmit date
  • Posted Claims Detail – Reconciled claims detail by posted date
  • Write-Off YTD – Monthly write-off totals by payer, by posted date
  • Unposted Claims – Claims detail by payer and BIN which make up aged receivables

Our customers who use Econcile over a 12-month period have reduced unreconciled payments older than 60 days by an average of 40%

Key benefits of Econcile include:

  • 100% pharmacy reimbursement reconciliation of your third-party prescription business each month, down to the claim level
  • 98% of your pharmacy claims data will be processed electronically
  • Compatibility with any Pharmacy Management System, and cloud-based, so there is no software to install and maintain
  • Options to run Econcile in-house at your pharmacy, or let our experts handle the reconciliation for you

Efficiently Manage Third-Party Receivables and Payments on Prescription Claims

EnlivenHealth’s proven pharmacy claims reconciliation solution is a cost-effective way to assist your pharmacy staff in managing third-party receivables and payments on prescription claims.

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