Cleansing Doctor Files

Two companies, PDX and Cerner Etreby, have partnered with Health Market Science (HMS) to reduce the risk of submitting prescription claims with invalid prescriber identifiers.

HMS and PDX will provide point-of-service compliance by integrating the PDX pharmacy systems, and later the company’s Enterprise pharmacy system, with the HMS Prescriber MasterFile. This will allow every pharmacy transaction to be reviewed in real time to determine if the authorizing prescriber’s license and other credentials are valid and appropriate for the drug being dispensed. This validation is integrated with the prescription-filling process before the prescription is transmitted to an external switch.

“Given the intense regulatory scrutiny at the state and federal levels, pharmacies cannot afford to make costly mistakes,” says Jeff Farris, president and CEO of PDX. “We had to make our solution as effective as possible during the filling of a prescription, so pharmacy staff could mitigate risk, without compromising customer satisfaction.”

Cerner Etreby is offering its users subscriptions to ProviderOnline, a hosted Web service offered by HMS that gives pharmacies access to prescriber identifiers, reducing the time and expense required to complete claim submissions.