Claim Analytics

What is Claim Analytics?

Claim Analytics allows stores to obtain a line by line comparison of PCRS payments versus what the store has claimed.

Once Claim Analytics is installed on the Claiming PC ( Claim cert installed ) it will automatically import the your monthly PCRS payments file and provide the reports needed to ensure correct payments.

Claim Analytics identifies items claimed for that have not been paid, items claimed for that have differences in pricing & fees, items claimed for that have been rejected and much more.

- Access Claim Analytics

  • Open Touchstore Rx Plus and press the start tile
  • Click Modules or press (KEYBOARD: ALT + O)
  • Click Claim Analytics or press (KEYBOARD: ALT + 9)

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- View All Claimed Items

  • Open Claim Analytics
  • Under the drop down select “Show All Claimed Items”
  • This will display all items claimed and the matching payments from PCRS.

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- View All Claimed Items Rejected by PCRS

  • Open Claim Analytics
  • Under the drop down select “Rejected by PCRS With Error Message”
  • This will display all items claimed and the reason given by PCRS for their rejection.

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- View All Claimed Items That PCRS Paid Less Than Expected for Ingredients

  • Open Claim Analytics
  • Under the drop down select “Show items with ingredient cost reduced by PCRS”
  • This will display claimed items that PCRS have paid less than expected for ingredients.
  • The cost column displays the difference between the Ingredient Cost in TouchstoreRx that was sent in the claim and Ingredient Cost PCRS paid the pharmacy.

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- View Claimed Items Without a PCRS Number

  • Open Claim Analytics
  • Under the drop down select “Show items without PCRS claim number”
  • This will display items that were sent to the PCRS but were not included in the claim payment records
  • In turn this could include items that have not been paid for by the PCRS that the user expected payment for.

- View Summary Dashboard of Payments

  • Open Claim Analytics
  • Press Fee Stats

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  • This dashboard displays high level information regarding claim payments
  • By selecting the “Show Fee Value” option, it will display the value of fees, separated into the fee types ( €5.00, €4.50, €3.50, Not Dispensed €3.27, Extemporaneous, etc. )
  • By unticking this option it will display the number of fees, separated into the fee types.

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  • By selecting the “Separate Phased Dispenses” option, it will separate each fee type into the number of items dispensed at that fee type and the number of phased items dispensed at that fee type.

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