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Pharmacy Billing Services

Striving in an economy where margins keep reducing and the competition keeps increasing is not a cake walk. Irrespective of the sector and the vertical, companies are relying on automating their management systems to improve their way of work. One of the most important systems that have caught the attention of pharmacists all over is the pharmacy billing management system, which is a part of everyday functioning of a pharmacy and requires precision and integrity.

Pharmacy Billing Services Offered by Flatworld Solutions

Daily Census Updates

Census maintenance is a very important function from medical billing point of view, as it involves creating proper records of the patient and the payee. It involves recording information of patient discharges, change of physicians, etc. All this is essential especially if your customers plan to make a medical claim.


Admission is the first step in the medical billing process, and involves recording the details of the patients like their name, age, blood group, medical history, diagnostic reports, previous prescriptions, known allergies, etc.

Prior Authorization Document Management

The billing management systems we develop ensure that complete authorizations are taken before the processing begins. This ensures that the patients are always covered via a health plan and there are minimal claim denials. Our authorization systems are set to handle every drug category and emergency levels.

Refills Management

Refill management is another area that requires great attention and quicker actions, as your customers are not going to be very patient with you the second time they come around. We will help you set up all the necessary approvals and reminders, so that when a customer comes in for a refill, you can process it right away without any delay.

AR Follow-Up

AR stands for accounts receivable. We know that every small service that doesn't get billed impacts your bottom line directly, so we take care to handle it with a lot of attention and care. The most important aspect of this service is to ensure that only the services performed are captured and billed at the right time.

Payment Posting

This is probably the most labor intensive activity in pharmacy billing, but the good news is that we can automate it. We will help you streamline the manual payment postings, automatically post the insurance payments, and also reduce the data entry time.

An In-depth Understanding of Business Processing

Implementation of business processing system is an expensive deal. There is a huge amount of investment in terms of both time and money. The understanding of this very fact has helped us come a long way with our customers. We have been able to provide high levels of customization so as to keep the system as close to reality as possible. This has helped our clients feel accustomed to the system, as has been possible because of our in-depth understanding of the business processes. With our experience, we have drastically reduced the operational costs for many of our pharmacy clients.

Our Team of Experts

Our team of experts comprises of well-qualified and experienced accounts and finance personnel, and clinical experts who have complete working knowledge of -

  • CPT codes and coding guidelines
  • Documentation for drug category review
  • Different processes for A-rated Generic Drug, Brand Name Drug, and Non-Preferred Drug, which helps us minimize rejections
  • Awareness of all compliance audits, thereby reducing the drug coding errors
  • Creation of tailor-made statistical and analytical reports for the clients

Each member of the team is highly motivated and aims at delivering results in the shortest span of time with maximum efficiency. They ensure constant increase in cash flow and consistent reduction in costs.

Outsource Pharmacy Billing to Flatworld Solutions

At Flatworld solutions, our aim is to serve the customers to the best of our abilities by designing and implementing systems that can help increase productivity. No one likes a faulty, lethargic billing system that takes more time than the medical procedure itself. Right from medical coding to billing, there is nothing that we can't handle.

You need a system that automatically calculates and iterates the taxes, discounts, reimbursements, and postings, and we are here to help you customize one. We have always developed systems that have exceeded industry benchmarks.

With a creative mix of advanced technology and billing professionals, we develop solutions that help you get all the billings posted automatically and at a reduced turnaround time. Contact us to know more our pharmacy billing services, our executives will be glad to assist you.



Pricing is a critical factor to consider before outsourcing. Our pricing model allows you to keep your costs in control.

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