Pharmacy claims adjudication is complex, and reimbursement is constantly changing. Veridikal's pre and post edit (PPE) solution, DetectRx™, is the best-in-class and helps maximize reimbursement, improve productivity, shorten collections windows, reduce resubmissions, increase profits, and provides audit safeguards. Unlike legacy Pre and Post Edits (PPE) systems that have 5-10 basic rules, Veridikal's next generational platform has hundreds of advanced business rules and edits that can be customized to meet the needs of each customer.
DetectRx™ leverages complex event processing technology via our sophisticated business analytic platform that is paired with an integrated dashboard. DetectRx™ has changed the way that both individual pharmacy locations and corporate chains use their data to drive margin improvement, mitigate audit risk and provide actionable business insights. Our live analytical technology captures 100% of claims and fields during the adjudication process so they can be evaluated to identify errors and opportunities for improvement.
With DetectRx™, Veridikal has improved upon the way pharmacies and corporate chains use data to improve upon margins, mitigate risk and help provide actionable business insights.
