Revenue Cycle Solutions Built for Pharmacies

Pharmacies manage high claim volumes, complex payer requirements, and increasing pressure to collect and protect revenue. Etactics provides revenue cycle technology that helps pharmacies streamline claims, manage denials, simplify patient billing, and gain greater visibility into financial performance.

7,000+

Healthcare Organizations
Served

5M+

Claims Processed
Monthly

5M+

Statements Processed
Monthly

99%

Call-Answer Rate

100%

U.S.-Based
Support

Challenges Facing Today's Pharmacy Revenue Cycle

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Complex Payer Requirements

Pharmacies must navigate constantly changing payer rules, eligibility requirements, and claim edits.

Errors can result in rejected claims, delayed reimbursement, and additional administrative work.
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High-Volume Claim Processing

With large numbers of transactions moving through the revenue cycle, even small inefficiencies can quickly add up.

Automated workflows can help pharmacy teams process claims accurately while reducing manual work.
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Denials and Reimbursement Delays

Denied and underpaid claims can create significant revenue leakage.

Without efficient workflows and clear visibility into payer behavior, it can be difficult to identify issues and recover revenue quickly.
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Patient Payment Challenges

As patients take on more responsibility for healthcare costs, pharmacies need convenient ways to communicate balances and collect payments.

Digital statements, online payments, and flexible payment options can help simplify the process.

Solutions Built for Pharmacy Revenue Cycles

IntelliStatement®

IntelliStatement helps pharmacy professionals automate patient statement delivery using intelligent business rules, branded communications, and secure digital payment options.
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  • Automate self-pay and balance-after-insurance statement campaigns.
  • Deliver branded print and digital statements with online payment options.
  • Improve patient collections through personalized reminders and flexible payment access.
  • Reduce manual billing tasks while accelerating patient payments.

AppealsPlus™

AppealsPlus automates denial identification, organizes appeal workflows, and gives revenue cycle teams the visibility they need to prioritize the claims with the greatest financial impact.

Instead of manually tracking denials across spreadsheets and emails, pharmacy staff can work from centralized queues with real-time reporting and automated appeal generation.
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  • Automatically identify and prioritize denied or underpaid claims.
  • Streamline appeal workflows with intelligent routing and document automation.
  • Monitor denial trends and staff productivity through real-time dashboards.
  • Improve reimbursement speed while reducing administrative workload.

Customer Access Plus™

Customer Access Plus provides a secure, branded patient portal where patients can view statements, manage balances, review payment history, and pay online from any device.

By giving patients convenient self-service tools, pharmacy professionals can reduce billing confusion, improve the patient financial experience, and lessen the administrative burden on billing teams.
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  • Centralize patient balances and payment history in one secure portal
  • Increase online payments with convenient, mobile-friendly billing access
  • Reduce inbound billing calls through patient self-service and secure messaging
  • Strengthen patient satisfaction with a seamless, branded digital experience

Exact

Exact helps pharmacies improve the accuracy and visibility of outbound patient communications by validating addresses, correcting mailing errors, and tracking every document through the USPS mail stream.

Whether you're mailing patient statements, financial assistance notices, or other important billing documents, Exact helps ensure communications arrive quickly, accurately, and with greater confidence.
  • Reduce returned mail with automated USPS address validation and correction.
  • Track patient statements throughout the mailing process with Intelligent Mail Barcodes.
  • Improve billing efficiency through streamlined document approval workflows.
  • Lower mailing costs while increasing successful patient communications.

IntelliClaim®

IntelliClaim helps pharmacy revenue cycle teams improve claim accuracy before submission with advanced claim scrubbing, payer-specific edits, real-time eligibility verification, and streamlined workflows that reduce rework and reimbursement delays.

From registration through adjudication, IntelliClaim gives your team the tools and visibility needed to keep claims moving efficiently while reducing administrative burden.
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  • Increase first-pass claim acceptance with intelligent claim scrubbing and payer-specific edits.
  • Verify patient eligibility and monitor claim status in real time to prevent avoidable delays.
  • Simplify claim management with in-portal editing, automated workflows, and centralized work queues.
  • Reduce denials, accelerate reimbursements, and improve overall revenue cycle performance.

Payment Hub

Payment Hub gives patients multiple ways to pay while helping revenue cycle teams increase collections, reduce administrative effort, and deliver a better financial experience.

With secure online payments, autopay, payment plans, and digital wallet functionality, your practice can make it easier for patients to pay on time while maintaining PCI DSS compliance.
  • Increase patient collections with flexible payment options, including autopay and customized payment plans.
  • Improve the patient financial experience with secure, convenient online payment tools.
  • Protect sensitive payment information with a fully PCI DSS-compliant payment platform.
  • Reduce payment delays and manual follow-up by automating recurring payments

RevVitals™

Pharmacy leaders need timely, actionable insights to improve financial performance and reduce revenue risk.

RevVitals transforms real clearinghouse data into intuitive dashboards, helping your team monitor payer performance, identify reimbursement issues, and make data-driven decisions with confidence.
  • Monitor payer performance, claim acceptance rates, and reimbursement trends.
  • Identify underpayments, denials, and revenue at risk before they impact cash flow.
  • Gain real-time visibility into revenue cycle performance with interactive dashboards.
  • Make informed financial decisions with trusted clearinghouse-based business intelligence.

Frequently asked questions

Choosing the right revenue cycle technology is a big decision. Here are answers to some of the most common questions pharmacies have about Etactics, our solutions, and how we can help simplify revenue cycle management.

How can pharmacies improve patient collections?

IntelliStatement, Customer Access Plus, and Payment Hub work together to simplify patient billing. Pharmacies can provide clear statements, digital account access, online payments, autopay, and payment plans.

Can Etactics help pharmacies identify underpayments?

Yes. RevVitals uses clearinghouse data to provide visibility into payer performance, zero-pay denials, reimbursement trends, and other indicators of potential revenue leakage.

Can Etactics support high-volume pharmacy operations?

Etactics solutions are designed to automate revenue cycle processes and provide centralized workflows and reporting, helping organizations manage high transaction volumes while reducing manual administrative work.

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