Fraud Prevention


Claim Activity Monitoring

  • All claim activity is monitored on a daily basis.

  • 24/7 real-time visibility on all activity.

  • Proprietary software validates all claims against over 35 edit checks ensuring accuracy and providing alerts.

  • All exceptions are reviewed daily prior to processing for reporting and payment.

  • Alerts include new writing physicians, new dispensing pharmacy, over concentration of claim activity, high dollar claim activity, skewed cash vs insured mix, PA reject concentration, etc.

  • Proactive management of exceptions as need including contacting the pharmacy for clarification and manual reversal of a claim if needed.

Enhance Your Brand’s Presence

AlphaScrip’s innovative and affordable programs can dramatically enhance any pharmaceutical brand’s presence in the marketplace from every stage of a product’s life cycle.

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