redsail medical billing services

Easy Medical Billing for Clinical Services

TransactRx®, a RedSail company, helps pharmacies capture all the reimbursements owed from immunizations and clinical services. Pharmacies get their claims submitted, payments posted, and outstanding issues resolved. RedSail Medical Billing helps prevent underbilling, improper coding, and missing information.
medical billing services
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RedSail Medical Billing can assist with Medicare PTAN.
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Key Features in Our Medical Billing Software

pharmacy payment rate
Payment rate near 100%
pharmacy patient eligibility
Patient eligibility check in real time with follow-up information
real-time edits
Real-time edits to minimize delayed or denied claims
Proactive claims status
Proactive claims status management for all payer rejected and zero pay claims
capture all pharmacy revenue

Capture All Revenue

Influenza and pneumonia vaccines, COVID vaccines, point-of-care (POC) testing, COVID test kits, glucose monitors and supplies, nebulizer medications and supplies, therapeutic shoes for diabetics, surgical dressings, other DME products, Part B covered drugs, medication therapy management (MTM) – any contracted service.
See Billable Services

How It Works

NCPDP® S1 transaction set expert: Submits X12 837 claims to medical payers by submitting standard pharmacy claims from pharmacy system to the switch.
Manages reimbursements for all adult and pediatric vaccines and other medical services: Submits claims to Medicare Part B, Medicaid, and commercial payers.
No coding knowledge required: NDC codes translated to appropriate CPT or HCPC codes, appropriate payer-specific diagnosis codes applied.
Easy posting of 835 ERA files in pharmacy billing system: 835 files referencing medical claim identifiers converted to 835 files referencing Rx numbers.
how medical billing works

Try RedSail Medical Billing

Attend a dedicated RedSail demo. These special sessions are full of information and answers to your FAQs – it’s the best way to begin!
Schedule Your Demo