CT_May_June21_PSAO_Elevate_Provider_Network

PSAO Network Name

Elevate Provider Network

Web Address

www.wearegnp.com/managed-care/elevate-provider-network

Number of Pharmacy Members

5,000

Are You Wholesaler-neutral?

No

Are members required to purchase from preferred vendors other than a wholesaler?

No

Details of Elevate Provider Network Offerings

How quickly does Elevate Provider Network pay out the funds from pharmacy benefit managers?

Central pay

Claims reconciliation, fee visibility, and central pay/direct deposit features:

Elevate Provider Network...

  • Offers robust claims reconciliation to ensure you receive all monies due.
  • Provides full visibility on fees, Direct and Indirect Remuneration (DIR) and transaction fees, and dispensing fees.
  • Offers central pay and direct deposits for next day reconciliation payments.

How does Elevate Provider Network help a pharmacy owner plan for and mitigate DIR fees?

All contracting is performed using advanced proprietary data analytics. We offer a DIR estimator tool and we also provide members with quarterly estimates.

What tools does Elevate Provider Network offer to support activities such as MAC appeals, MTM opportunities, adherence opportunities, audit assistance, reporting, and compliance?

An Elevate Provider Network membership includes all these services. Elevate provides reports, dash boards and other tools to support these services.

What other opportunities does Elevate Provider Network offer to help increase revenue streams?

Pre- and post edits, claims reconciliation, patient adherence tools, collaborative practice agreements, weekly claims review dashboard, participation in COVID-19 vaccine program, advocacy at federal and state level for provider status, and more.

In what ways does Elevate Provider Network help members to efficiently manage licensure and credentialing information, maintain contract access, and access support for various policies, procedures, and training (such as Fraud Waste and Abuse prevention, HIPAA, OSHA, FWA and PSE)?

In accordance with NCPDP requirements, Elevate strongly requires all members to annually attest to fraud, waste, and abuse policies as well keep all credentialing and licensing information up to date in the NCPDP profile for that pharmacy.

LEAVE A REPLY

Please enter your comment!
Please enter your name here