Medicare Part D Claims Coordination

As public pharmacy programs adjust to the impact of the new Medicare Part D drug coverage, eligible claims for federal drug reimbursement often go unprocessed. With a particular expertise in Part D rules and regulations, Public Sector Partners works with state long term care facilities to provide claims processing services for reimbursement of Medicare Part D prescription drugs.

We submit Part D claims on behalf of state facilities such as schools, hospitals and state institutions serving people with developmental disabilities. By increasing the volume of claims accepted by Medicare Prescription Drug Plans, we are able to maximize reimbursement revenues to facilities.

Our Part D claims coordination services include:

• Gathering and analyzing plan data and other relevant information
• Reviewing claims against formulary or preferred drug list
• Submitting claims to Medicare Part D Prescription Drug Plans
• Analyzing, troubleshooting and resubmitting rejected claims

For more information on our Medicare Part D Claims Coordination services, please contact PSP at revbeninfo@publicsectorpartners.com.