Our approach is different from most vendors. We use the leading technology system RxAnalyzer to analyze your pharmacy claims when searching for overcharged claims. Rx Analyzer identifies overcharged claims and calculates the loss to the client. Easy to read web based reports tell you at-a-glance whether you are being overcharged.
RxAnalyzer will look at your past billing and generate reports to show where you were overcharged for claims. You can present these reports to your PBM to recover those payments.
Rx Analyzer helps you keep constant tabs on your PBM bi-weekly claim reports show where you’ve paid too much and how much your really owe your PBM so you can stop overpaying with every bill.
Quantas Advisors delivers a comprehensive Search & Rescue process to uncover and recover healthcare claims errors. Our experts leverage in-depth industry knowledge and advanced data analysis to identify overpayments, resolve inaccuracies, and return real savings to your organization. By balancing flexibility with advocacy, we help you achieve financial clarity while maintaining strong payer relationships.
Summarizes your PBM contract terms, including rates for brand, generic, retail, and mail order claims. RxAnalyzer monitors charges using this data.
Provides a detailed overview of the total number of processed claims for your organization.
Breaks down claims by group, showing individual results to compare savings rates across groups.
Highlights the total overpayment for claims, separated by brand and generic categories for retail and mail order services.
Lists each overcharged claim, including prescription number, date, location, and discount percentage versus your contracted rate.
Evaluates costs for items like syringes and test strips to identify opportunities for cost-effective alternatives.
Identifies claims paid below the contracted rate, preventing long-term overcharges due to average percentage discounts.
Compares costs between mail order and retail claims to identify potential savings through maintenance drug adjustments.
