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Econcile Pharmacy Claims Reconciliation Solution

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 Econcile 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

$0

was the average cost community pharmacies endured from audits in 2020

0%

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

EnlivenHealth® Econcile

Econcile pharmacy reconciliation services, enables your staff to identity missing checks and underpaid claims and keep a firm handle on your receivables balance with secure online reporting. With 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 identity slow-paying third parties, missing claims payments or checks, and partially paid claims.

Econcile Complete

Econcile Complete enters all payments, generates finance reports, and chases 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 you can handle reconciliations with ease.

Econcile from EnlivenHealth® helps you to 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:

  • Reconciles 100% of your third-party prescription business each month, down to the claim level
  • Processes 98% of pharmacy claims electronically
  • Cloud-based and compatible with any Pharmacy Management System, so there is no software to install and maintain
  • Features two different implementation paths: 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 Econcile 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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