Invoicing Overview

Streamline your billing process with intelligent automation and clear reporting. Manage coverage, verify eligibility, monitor credit limits, and generate accurate statements — all within your No Rejects platform.

Overview

Automate and simplify end-to-end billing with integrated claim management and payment tracking.

  • Pharmacy assigns Cardholder IDs (typically automatic in PIS)
  • Adjudicate claims and COB:
    • Calculate pricing
    • Check balances and apply coverage rules
    • Create invoices
    • Trigger autopay
  • Schedule or trigger statements and notices
  • Receive and apply payments
  • Export AR and GL data to accounting systems

Coverage Verification

Ensure coverage validation is accurate before invoicing to reduce denials and rework.

  • Most bad debt is due to expectation of insurance coverage
  • If a suitable reject is not provided, we reject
  • Medicaid Waiver, Hospice, and Group Homes

Example Reject:

NR1> Covered by Part D or Part D reject needed.  
Other coverage: 123456 PARTD

Credit Limits

Maintain control and accountability by managing credit exposure and automating bad-debt prevention.

  • Most bad debt is because of expectation of insurance coverage
  • If a suitable reject is not provided, we reject
  • Medicaid Waiver, Hospice, and Group Homes

Example Reject:

NR1> Patient past due. Balance $235.05. Last payment 1/22/2025.  
NR1> Autopay denied: Insufficient Funds

Example Statement

Deliver professional, branded statements for clarity and compliance across facilities.

  • Branded for pharmacy
  • Facility co-branding available
  • Customizable design and contact details

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