Third Party Processing

Computerized Processing of all Your Third Party Claims

Third-Party processing for prescriptions has become the number one headache for pharmacies.  The number and complexity of plans seem to grow each week.  Whether it is the filing of the forms or the non coverage of certain types of drugs, it is a headache.  Using a state of the art computer system can help solve these problems.  Foundation Systems takes pride in its ability to handle all the plans regardless of their complexity. 

   Foundation Systems processes "on-line" third-party adjudication for all third parties using the NCPDP standards.  By using a computer system that is always consistent, you can rest assured that you have charged the right amount and that you have properly filed each claim.  As an extra benefit of using our prescription filling process, you can correctly complete all the required information to eliminate rejected claims.  This is possible because each third party is customized for all the variables, exclusions, exceptions, and eligibility parameters.

You can control your time now.  You will not need to spend all of your available time processing those universal claim forms.  You will be on-line electronically while filing the script, or you may batch process the claim forms when you want.  Either way, your forms will be processed accurately and quickly.  you will become more efficient in managing you time.  That means you will have more time to spend with your customers, to develop your business, or even relax with your family.

Using a modem and telephone line, you can immediately file your scripts without batch processing.  FSI will also allow you to process four claims per call to further increase you productivity and to reduce your costs.  From within the prescription pathway, each patient, drug, and script can be verified within seconds with the third party.  By being on-line with the ones who pay the bill, you eliminate all rejects, bill the script, and serve the customer all with ease.  Third party plans actually become a pleasure rather than a headache!

Optional Accelerated Claim Submissions:

As an option FSI also supports internet and eased lines with accelerated claim communication protocols in the Linux and Unix operating systems for nearly instantaneous processing of third party claims in as little as 3 seconds!