Claims Errors Adding Up? Let PSG Solve Your Math Problem
Key Metrics:
of PBM claims processed incorrectly
of reimbursement dollars due to client
Background
When a large government organization discovered that their average wholesale pricing (AWP) discounts were not being administered accurately by their PBM they assumed it would be a simple fix. But after learning of the error, the PBM spent the next 10 months attempting to correct the pricing set-up, and to realign with the contracted terms. Unfortunately, the pricing errors continued, creating an uncertain financial impact to the client and its members.
PSG’s independent analysis ensured claims were accurately priced. Download the case study to learn how.