PDC Pharmacy understands the unique needs and financial considerations of our provider agencies and the patients they serve. PDC Pharmacy is experienced with the coverage Medicare and Medicaid plans provide.
PDC Pharmacy’s goal for billing is to submit claims to all appropriate parties in order to ensure the lowest out-of-pocket expenses possible and to obtain timely prior authorizations to mitigate expensive private pay charges.
PDC Pharmacy’s Billing Team specializes in long-term care prescription medication billing of insurance plans carried by patients that reside in adult residential, children’s residential, intermediate care facilities, and Lifesharing, or host home, arrangements. We utilize a multi-step system to ensure accuracy when submitting a medication for payment:
- At the point of data entry and pharmacist verification of an order, the claim is submitted to ensure payment.
- Prior to posting the prescription, a second review is completed by the Billing Team to ensure proper submission to primary, secondary, and private payors.
- Transaction reports are reviewed daily to triple check for inaccurate billing submissions or inappropriate copayments.