RxClaimPro™
The unique regulatory process of prescribing cannabis has created a market gap in electronic processing of these prescriptions from a medical document to an insurance claim for submission to an adjudicator under the jurisdictional standard, for Canada, the CPhA Pharmacy Claim Standard.
RxClaimPro™ Features
Patient Management
Search and maintain patient data and health insurance/benefit plan data for the patient. View their demographics, prescription history and order history for effective decision-making
and quick processing.
Order Creation
View patient demographic, clinical and prescription data for effective decision-making. Filter products that meet the parameters of the prescription, adjust those prescription parameters or sort products based on their attributes. Place one or more products in the order basket for further processing.
Prescriber Management
Import or record a repository of prescribers including their demographics, credentials and locations of practice.
Clinic Management
Maintain a repository of prescriber clinic locations.
Claims Adjudication
Submit products for public or private plan electronic claims adjudication and view the response. Also coordinate benefits with secondary plans such as spousal plans.
Catalogue Management
Maintain the catalogues of multiple licenced producers with product attributes including name, licensed producer, strain, CBD and THC, format, as well as inventory and pricing information.
Order Posting
Save the order to the patient’s history for speedy renewals.