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FACTS & COMPARISONS®

Claim Review/Audit

Health care claims continue to grow at an astounding rate. To quickly identify and modify inappropriate transactions, payers must have ready-access to the information needed for claim review and auditing.

For years, Medi-Span® has been the drug information resource that payers have trusted to provide the information they need. From our data integrity, to our industry-leading customer support, we provide payers with the drug information content, tools and applications they need to create an efficient bill review process.

If you are looking for tools to support Claim Review and Audit, these products will interest you:

Databases
Adverse Drug Effects Database™
AHFS Supplemental File
Average WAC Pricing File™
Brand Probability File™
Comprehensive Price History
Dose-Chek™ v2.0
Drug Application File
Drug Inactive Date File
Drug Indications Database™
Drug Therapy Monitoring System™ (DTMS) v2.1/
DTMS Consumer Monographs

Duplicate Therapy Database™
Enhanced Standardized State Formulary Files
Healthcare Common Procedure Coding System Codes
(HCPCS) Database

Integrated A to Z Drug Facts™ Module
Master Drug Data Base v2.5 (MDDB®)
Medicaid Rebate File
Payment Allowance Limit-Part B (PAL-B) v2.0
Precautions Database™
Supplemental Names File

Tools
Drug Information Bridge™ v3.2
Integrated Drug Facts and Comparisons™ API v3.1

Price Rx®
Price Rx®