Comprehensive Reporting
We understand that data is the lifeblood of effective healthcare management. That’s why we’ve made comprehensive reporting a cornerstone of our services. Our commitment to transparency, accuracy, and actionable insights sets us apart in the industry.
Monthly Response Report
Empowering Informed Decision-Making
Our Monthly Response Report is designed to provide you with a clear and concise overview of your claims processing status. This report offers valuable insights into the edit status of submitted claims, enabling you to identify and address issues promptly. It highlights records that have been accepted or rejected due to various factors, such as data format issues, missing required fields, duplicates, and more. With this report, you can track claim counts, streamline processes, and improve data quality.
Guarantee Payment Report
Precision and Clarity in Payment Management
Our Guarantee Payment Reporting offers a granular view of payment guarantees at the claim level. It not only provides the total claim counts but also includes exclusion reasons for a comprehensive understanding of your payment landscape. This report empowers you to make informed decisions, optimize payment processes, and proactively address any anomalies or discrepancies.
Pass Through Payment Report
Transparency in Financial Management
Our Pass Through Payment Report takes financial transparency to the next level. It provides a detailed breakdown at the NDC level, reflecting actual payments net of Program Management Fees. With this report, you gain full visibility into your financial transactions, helping you assess the true impact of Program Management Fees and make informed financial decisions.
Annual True-Up Reporting
Ensuring Financial Accuracy
Our Annual True-Up Reporting is your go-to resource for financial reconciliation. It meticulously tracks and compares guarantee amounts, pass-through amounts due, and actual payments made. This report ensures that your financial records are accurate and compliant, allowing you to address discrepancies promptly and optimize your financial strategies.
Unlock the power of comprehensive reporting with PHG
Our reports not only provide data but actionable insights that drive success in the pharmacy benefit industry.
Contact us today to learn more about how our reporting solutions can transform your operations.