eVoucherRx™ with Denial Conversion Program

eVoucherRx™ with Denial Conversion Program

Is your pharmacy struggling to keep patients from abandoning their high-cost prescriptions? eVoucherRx™ from RelayHealth provides a solution with manufacturer-sponsored electronic vouchers to help reduce patient co-payments. SOLUTION: eVoucherRx™ from RelayHealth provides a solution with manufacturer-sponsored electronic vouchers to help reduce patient co-payments.


What is eVoucherRx™?

eVoucherRx and Denial Conversion are manufactured sponsored programs serviced by Relay Health and administered by Micro Merchant Systems through PrimeRx™ Pharmacy Management System.

How Does it Work?

  • eVoucherRx allows the pharmacy to reduce patient copays by applying electronic vouchers in real-time during adjudication so that the patient can receive reduced copays.
  • Denial Conversion allows the pharmacy to route a claim as an adjudicated claim that otherwise would have been denied if the manufacture sponsored NDC was not a part of the formulary for the insurance listed in the Rx.
  • When the payer rejects a qualified claim as non-reimbursable, Denial Conversion automatically converts that claim to a “Paid” status and appends a message in response to the pharmacist.
  • eVoucherRx and Denial Conversion services advance the pharmacy’s role as a trusted healthcare provider by making prescription medications more affordable and accessible for patients.

 

What are the Patient benefits?

  • Makes it easier for patients to receive copay savings.
  • Works in real-time at the point of dispensing.
  • By reducing patients’ out-of-pocket costs, eVoucherRx reduces the cost barrier to medication compliance and promotes increased adherence and future refills.
  • Eliminates the need to retain paper coupons because copay reimbursement reduction is applied at the point of adjudication.

 

What are the Pharmacy benefits? 

  • The pharmacy will be paid an administrative fee with the eVoucher coupon dollars.
  • Saves time by eliminating steps in pharmacy workflow. The system automatically adjusts the copay on the third-party claim.
  • RelayHealth has taken steps to exclude known federal and state government-funded programs, such as Medicare and Medicaid.
  • Eliminates the submission of additional coordination of benefits claims from your pharmacy’s workflow.
  • Reduces prescription abandonment
  • Increase the likelihood of repeat business through proactive intervention to reduce the cost of your patient’s medications.
  • Free Membership (no hidden fees for the pharmacy)

 


*eVoucher cannot be used at pharmacies in states that prohibit co-pay assistance at the point of dispensing (e.g., Massachusetts).