155 N Michigan Ave, Suite 707 Chicago, IL 60601 Phone: 312.729.5457 info@medidal.com | medidal.com PHARMACY ELIGIBILITY DISCOVERY Pharmacy Claims Eligibility at Safety Net Hospitals CASE STUDIES IN EFFICACY PHARMACY REIMBURSEMENT Copyright © Medidal 2014. All rights reserved.PHARMACY ELIGIBILITY DISCOVERY Pharmacy Claims Eligibility at Safety Net Hospitals OVERVIEW When a facility’s pharmacy dispenses drugs irrespective of payment at time of service, the ability to find Medicare Part D or Medicaid coverage later becomes more difficult. Most pharmacy systems are not equipped to perform these complex searches after the fact. This case study examines a large hospital system that utilized Medidal as their pharmacy claims processor. We review the situation, the solution pursued by the

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