Features and benefits include:

Acquisition Edit
Examines claim responses and identifies claims approved for payment below defined acquisition cost.

AWP Edit
Ensures submission of the most up-to-date pricing for AWP claims.

DAW Edit
Examines claims and analyzes the drug submitted to determine generic availability and proper use of DAW codes.

DEA Edit
Verifies submission of an appropriate DEA number and validates the DEA number against the most up-to-date DEA file available.

Outdated NDC Edit
Examines claims and checks the drug submitted to verify the latest NDC used.

Reimbursement Edit
Examines claim responses and identifies claims approved for significantly reduced reimbursement compared to the amount submitted.

Usual and Customary Edit
Examines claim responses and identifies claims approved for payment that matched the submitted U&C.

Payer Compliance
Web-based report identifies claims whose AWP increasee within a current timeframexamines claim responses and identifies claims approved for payment that matched the submitted U&C.