Intelligent routing for smarter prescription pricing
Powerful, self-serve product and growth analytics to help you convert, engage, and retain more users. Trusted by over 4,000 startups.
Our Product
What Claims Manager™ Does
Claims Manager™ is designed to make discount card pricing easier to understand, easier to manage, and easier to control. Every part of the platform is built to support better decisions without making workflow more complicated.
Review live pricing before claim submission
See patient copays, network fees, and pharmacy margin in real time so your team can understand the likely outcome before moving into claim processing.
- Real-time visibility into all pricing components
- Clear breakdown of copays, fees, and margins
- Make informed decisions before claim processing
Use RX.co Preferred Pricing™ by default
Automatically apply a balanced pricing path while keeping higher and lower alternatives visible for easy override when a different outcome is needed.
- Balanced pricing applied automatically
- Alternative tiers remain visible and accessible
- Simple override with PA code workflow
Set Custom Price Controls
Protect margin with rules that define minimum discount thresholds against U&C at the corporate, store, drug class, drug name, or NDC level.
- Corporate and store-level control
- Granular rules by drug class, name, or NDC
- Automatic margin protection
With Claims Manager™
Clear, consistent process
Eliminate trial claim workflow. Consistent decision-making across team. Faster, more confident pricing decisions.
Reduce guesswork at the point of service
Give staff clearer pricing visibility and a more consistent process instead of relying on trial claims, fragmented tools, or manual workarounds.
No pharmacy system integration needed
An all-in-one customer service platform that helps you balance everything your customers need to be happy.
Frequently Asked Questions
Answers to common questions about RX.co Claims Manager, pharmacy workflow, and real-time pricing
Does Claims Manager™ cost anything to use?
There is no cost to use the tool itself. Standard network admin fees apply only to claims your pharmacy chooses to accept.
What if we don’t currently take cash cards?
Most pharmacies are already exposed to cash card pricing through existing PBM and PSAO relationships. Claims Manager™ gives you a clearer way to visualize, manage, and control that activity instead of letting it happen without visibility.
Does Claims Manager™ require integration with my pharmacy software?
No. Claims Manager™ works without a traditional system integration. By routing claims through our BIN, the workflow is handled without requiring a software build on your end.
Will Claims Manager™ work with our current computers?
Yes. Claims Manager™ is a web-based application, so it works across modern computers and browsers without special hardware.
What is RX.co Preferred Pricing™?
RX.co Preferred Pricing™ is an automatic default pricing logic. It applies a balanced pricing path by default while still showing higher and lower alternatives for simple override when needed.
What are Price Controls?
Price Controls are configurable pricing guardrails that let pharmacies set minimum discount thresholds against U&C at the corporate or store level, with rule options by drug class, drug name, or NDC.
Ready to Take Control of your Cash Prescriptions?
Join hundreds of independent and retail pharmacies that are already saving time, building patient trust, and reclaiming their margins.