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.

What is the RelayHealth eVoucherRx - Denial Conversion Program?
The eVoucherRx - Denial Conversion program is a manufacturer-sponsored program that automatically applies savings to commercial claims that have been denied coverage by third-party plans but meet manufacturer criteria. Denial Conversion advances the pharmacy’s role as a trusted healthcare provider by making prescription medications more affordable and accessible for patients.

When a qualified claim is rejected by the Payer as non-reimbursable, Denial Conversion automatically converts that claim to a “Paid” status and appends a message in the response to the pharmacist.

How does it work
When you add the eVoucherRx™ with Denial Conversion Program interface to your PrimeRx™ Pharmacy Management Systems, the program evaluates prescriptions as they are submitted via PrimeRx™ and automatically applies the co-pay savings to qualified claims. The eVoucherRx™ with Denial Conversion Program is intended for patients with commercial insurance coverage. This program automatically excludes government-sponsored programs and cash claims.

How will you know an eVoucherRx was applied?
You will know that eVoucher has applied for copay assistance every time you see the following message in the “prescription message” field:
*eVoucher* [Manufacturer Name], the mfr of [Drug Name] paid $xx toward your plan copay

What are the benefits

• By reducing patients’ out-of-pocket costs, eVoucherRx reduces the cost barrier to medication compliance and promotes increased adherence and future refills
• RelayHealth has taken steps to exclude known federal and state government-funded programs, such as Medicare and Medicaid.
• Increase the likelihood of repeat business through proactive intervention to reduce the cost of your patient’s medications
• Eliminate the submission of additional coordination of benefits claims from your pharmacy’s workflow
• Grow your physician referral business by marketing your eVoucher services
• Get paid for processing eVoucherRx™ – Denial Conversion Program claims
• Increases pharmacist efficiency by reducing workflow interruptions
• Makes it easier for patients to receive the co-pay savings
• Works in real-time at the point of dispensing

For more information contact call 866-495-3999 or email sales@micromerchantsystems.com

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