The PrimeRx™ management system, offered by Micro Merchant Systems (MMS), is the only pharmacy technology solution that includes integrated eVoucher and denial conversion services as a core capability. A key reason for this is because MMS is currently the only pharmacy technology company that offers a denial conversion program. MMS – and not the drug manufacturer – reimburses pharmacies for the cost of medications provided to patients that had previously been rejected by a payer.
Micro Merchant Systems reimburses the pharmacy, and pays an administrative fee, as follows:
- For each denial transaction, the pharmacy is paid a sum that equals the Wholesale Acquisition Cost (WAC) plus 7.5%, less than the patient responsibility amount.
- The pharmacy is paid a $2.00 administrative fee for each denial conversion transaction. This fee is intended to offset the pharmacy’s administrative and processing.