BILLING FOR PHARMACIES
Get Paid for Your Clinical Services
Streamline billing, maximize reimbursements, and reduce administrative overhead with MedMe’s Billing module. From credentialing to claims submission and reconciliation, MedMe automates your workflow and supports your team every step of the way — so you can focus on delivering care.
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Get paid faster
MedMe takes the complexity out of medical claims billing. We verify insurance, scrub and clean each claim, route it to the correct payor, and automatically reconcile payments — all backed by our expert billing team. No need to hire a billing specialist — we’ve built one into your platform.
- Pre-submission claim scrubbing and formatting
- Real-time insurance verification
- Auto-routing to payors and reconciliation
- Fewer denials, faster payments, and full transparency
Know what you can offer and how to get started
Pharmacists often aren’t sure which services they’re allowed to bill for — or how to begin. MedMe works alongside you to identify billable services in your jurisdiction and supports your journey through credentialing, and payer enrollment. We ensure your team is equipped to launch clinical services with confidence.
- Jurisdiction-specific service recommendations
- Hands-on credentialing and payer setup support
- Partnered onboarding from setup through first claim
Bill accurately — without memorizing fee schedules
Using the clinical encounter data collected during your consult (patient demographics, insurance info, encounter notes, etc.), MedMe recommends payor-specific CPT codes to maximize reimbursement. No more second-guessing what to bill — you’ll always be aligned with the insurer’s expectations.
- Auto-suggested CPT codes based on encounter data
- Tailored to each insurer’s fee schedule
- Capture more value per consult with less effort
Keep billing accurate & transparent
Stay in control with dashboards that break down claims by status, CPT code, and total reimbursement. Know exactly which services are generating the most value — and spot any issues before they impact revenue.
- Real-time updates on claim status
- Reports by CPT code, service type, or amount paid
- Identify your most profitable clinical services
Ready to Enhance Your Specialty Pharmacy?
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