RedSail Edit+ Optimize Every Claim

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.

What is Edit+?

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Real-Time Claim Optimization

Automatically corrects claim submission errors that could cause payer rejections
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Audit Prevention

Catches submissions containing errant data that could trigger audits and claw backs
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Up-to-Date Pricing Assurance

Ensures current, optimal drug prices to avoid reduced payer reimbursements
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Time and Cost Savings

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

How Edit+ Supports You

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Proactively flags potential errors, identifies opportunities for revenue optimization, and minimizes administrative burden
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Edits claims in core categories like financial protections, compliance and regulation, patient safety, prescriber validations, and operational assistance
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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

Learn More About Edit+

Cleaner Claims, Less Work

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