AWP Resubmission Services
The Average Wholesale Price (AWP) for many prescriptions changes frequently and submitting claims using an outdated AWP deprives pharmacies of valuable revenue. AWP Resubmission Services enables you to capture money owed to your pharmacy by identifying, reversing and resubmitting third-party claims where the AWP has increased and the claim was paid using the old AWP in the reimbursement calculation.
Using AWP Resubmission Services, you can enhance your results from Pre & Post editing even further. Pharmacies can easily take advantage of two AWP Resubmission options to monitor claims submitted and paid responses, and identify opportunities for resubmission when the current AWP exceeds the amount reimbursed.
- The Online Resubmission Option: utilizes a Web-enabled user interface allowing users to review claims online and resubmit the transactions that you authorize RelayHealth to reverse and resubmit to the payer. This allows you to capitalize on the most current reimbursement.
- The Reports Only Option: provides you with a report identifying when the payer used an outdated AWP for the submitted drug claim and that the payer has updated their pricing file, allowing you to review, reverse, and resubmit the non-current AWP claims through your own systems.
AWP Resubmission helps maximize your reimbursement, enabling you to:
- Improve cash flow and margins
- Reduce resources required to monitor and re-submit
- Recover lost dollars
