Simplify drug benefit management
across all provider settings so that
all stakeholders win.
We solve tough benefit problems
TransactRx combines healthcare benefits expertise, provider network management and our patented cross-benefit transaction platform to change the way drug reimbursement is managed across medical and pharmacy providers regardless of benefit type, pharmacy or medical.
Deep knowledge of benefit design, provider contracting, reimbursement processing and technology enable us to deliver unique technology enabled solutions
TransactRx creates and manages national scale networks across medical and pharmacy providers
Patented Cross-Benefit Clearinghouse platform seamlessly connects medical and pharmacy transaction processing
The problems we solve
Innovative Cross-Benefit solution reduces specialty drug costs for all places of service including medical provider administered drugs
Medicare Part D
TransactRx enables medical professionals to bill for Part D-covered vaccines with minimal time and effort. Our service is designed for physician offices, health departments, visiting nurses as well as all other medical providers who administer vaccines covered by Medicare Part D.
Pharmacy Medical Billing
Use your existing pharmacy billing software to submit claims and manage reimbursement for influenza, pneumonia , shingles and all other adult and pediatric vaccines covered under medical benefits. Supports billing of all medical services administered at the pharmacy.
Medical Billing Services
TransactRx offers the most cost effective complete billing solution for Pediatric vaccines, Adult vaccines and healthcare services. With one easy to use web based medical billing software application you can bill Medicare Part B, Medicare Part D, Medicaid, Medicaid VFC and commercial payers for any vaccine or healthcare service
Pharmacy Claim Adjudication
The TransactRx cloud based pharmacy claim adjudication platform can be used by used by Discount Rx Card companies, Copay Assistance Programs, Private Label PBMs or any entity that requires claim processing and adjudication services and does not want to outsource control to a PBM.
Batch NCPDP Claim Processing
Support for any volume of batch claims processing for NCPDP or X12 837 submission. TransactRx accepts batch files in any format for conversion to NCPDP D.0 or X12 837 standards and submission in real time to any PBM or as batch 837 to any medical payer.
Eligibility and Claim API
TransactRx offers a REST API with a large number of endpoints supporting both pharmacy and medical eligibility and claims submission. Eligibility includes Medicare Part D and Medicare Part B.