Your pharmacy is leaving six figureson the table.
NDC mismatches, 340B split-billing gaps, and payer contract drift are silently draining your revenue. Dispense reconciles every claim before Friday afternoon.
Every card is money you're leaving behind.
Each flip reveals the exact hours lost and dollars drained — and what Dispense recovers automatically.
Manual Spreadsheet Reconciliation
Revenue cycle staff spend 14+ hours every Friday cross-referencing remittance against claims in Excel. Formulas break. Columns drift. By Monday, the window to dispute underpayments has narrowed.
Automated Claim Matching
Dispense runs continuous matching against every remittance as it arrives — not once a week, not Friday afternoon.
- Real-time NDC-level matching
- Auto-flags contract rate deviations
- Zero-touch ERA/835 processing
Legacy Clearinghouse Lag
Traditional clearinghouses batch-process claims on 24–48 hour cycles. By the time you see a rejection, the payer's dispute window is already ticking down. You're always two days behind.
Real-Time Adjudication Tracking
Dispense mirrors adjudication status as it moves through the payer network — rejection alerts before the dispute clock starts.
- Live payer network status feeds
- Automated dispute package generation
- Tracks 340B ceiling price validation
Generic Billing Software
Off-the-shelf billing platforms were built for physician practices. They don't understand DAW codes, NPI taxonomy for dispensing pharmacies, or 340B split billing carve-outs. You pay for workarounds.
Pharmacy-Specific Rules Engine
Dispense ships with 4,200+ pharmacy billing rules covering all payer types, DAW codes, and 340B program requirements — no configuration needed.
- NDC-to-drug mapping validation
- DAW code enforcement by payer
- 340B covered entity carve-out logic
Invisible Contract Drift
Payer fee schedules update quarterly. Your billing software doesn't know. Every claim goes out at last year's rate, and the underpayment accumulates silently — until someone manually audits six months of EOBs.
Live Contract Rate Monitoring
Dispense ingests your payer contracts and flags every payment that deviates from negotiated rates — on the day it posts, not six months later.
- Payer contract database with auto-updates
- Per-claim rate deviation flagging
- Recovery prioritization by dollar impact
One quarter. $412,000 recovered.
A 340B-covered health-system outpatient pharmacy running 9,200 claims/month had accepted 23% rejection rates as normal. It wasn't.
"We thought 340B split billing rejections were just the cost of doing business. Dispense showed us it was $412K in one quarter — and fixed it before the next billing cycle closed."
Live in one afternoon. Reconciling by Monday.
Dispense is built for pharmacy operations teams — not IT departments. No 6-month implementation. No professional services fees.
Connect Your Billing System
Dispense integrates with your existing pharmacy management system via HL7 FHIR or direct EDI connection. QS/1, PioneerRx, Epic Willow — setup takes under 2 hours.
No data migration. No workflow disruption. Claims keep flowing.
Load Payer Contracts & 340B Rules
Upload your payer fee schedules and 340B program parameters. Dispense maps every contract term to claim-level validation rules — automatically.
4,200+ built-in pharmacy billing rules. Your contracts layer on top.
Claims Reconcile in Real Time
Every claim is matched against remittance as it posts. NDC-level validation, DAW code enforcement, and 340B split-billing carve-outs run automatically — no Friday afternoon required.
Average reconciliation latency: under 4 minutes per batch.
Dispute Packages Auto-Generated
When Dispense flags an underpayment, it builds the dispute package automatically — claim detail, contract reference, and supporting documentation — ready to submit.
94% average dispute acceptance rate across health system clients.
Run Your Free Billing Audit
Tell us your pharmacy type and current setup. We'll return a detailed breakdown of what you're losing — specific claim categories, dollar amounts, and recovery paths.
- Rejection rate benchmarked against your pharmacy type
- Top 5 payer-specific underpayment patterns
- 340B split billing gap analysis (if applicable)
- Contract rate deviation scan across active payers
- Estimated annual recovery opportunity in dollars
Download the full Dispense vs. Legacy Billing comparison matrix — 40 criteria across reconciliation, compliance, and cost.
PDF · No credit card required