Invoicing Service

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