Optimize Every Claim Before Submission

Edit+ is a pre- and post-editing (PPE) service from PowerLine that provides real-time evaluation of pharmacy claim submissions and adjudicated responses. It helps ensure accurate, compliant, and revenue-optimized claims.

Download Fact Sheet Overview of core edits

What is Edit+?

Real-Time Claim Optimization

Automatically corrects claim submission errors that could cause payer rejections

Audit Prevention

Catches submissions containing errant data that could trigger audits and claw backs

Up-to-Date Pricing Assurance

Ensures current, optimal drug prices to avoid reduced payer reimbursements

Time and Cost Savings

Saves pharmacies potentially thousands per year in reduced staff hours and audit exposure

How Edit+ Supports You

Proactively flags potential errors, identifies opportunities for revenue optimization, and minimizes administrative burden

Edits claims in core categories like financial protections, compliance and regulation, patient safety, prescriber validations, and operational assistance

Leverages a highly configurable rules processing engine to meet pharmacies’ unique needs for validation and intervention logic

Estimated Monthly Savings

In reduced claim rework, audit mitigation, and manual pricing corrections

Time:

90
MINUTES

Labor:

$150

Claw Backs:

$300 PER
PRESCRIPTION

Cleaner Claims, Less Work

Complete this short form to see how Edit+ can optimize your reimbursements.