Third Party Station

Review third party contracts providing input and clarification to third party payer agreements 

Promote timely payments from third party payers 

Inquire about optimal reimbursement for pharmacies and market the true value of independent pharmacy to third party payers 
Identify MAC pricing with third party payers and appeal unfavorable prices 

Question network access and telecommunication fees to determine if they are appropriate or necessary.
 
Enhance third party payers' awareness of the true "cost of a prescription" to influence acceptable reimbursement to pharmacy network participants 

Provide a communication link between third party payers and pharmacy network participants 

Identify cash discount and workers' compensation programs and allow network participants to opt in or out of them

Reconciliation Service

Third Party Station provides "transaction-level" reconciliation for network participants enrolled in our reconciliation program. The goal of this optional program is to insure that network pharmacies are accurately paid and are paid on a timely basis.

We regularly identify unpaid claims in significant amounts. On several occasions, we have identified dropped or late claims that exceed thousands of dollars. Once we identify these claims in our exception-based reporting, we go after the money on behalf of our pharmacies. In many cases we are able, at minimum, to decrease the turnaround time for payments from third party payers improving our member pharmacies’ cash flow.

Our reconciliation program works like this; third party payers send all the funds that should be paid to our pharmacies to Third Party Station. At the same time, they also send an electronic file of all the claims they are paying to us. We compare their file to our record of actual claims dispensed (received daily from your pharmacy’s switch vendor). If we find a discrepancy, we follow up with the appropriate third party payer on your behalf.