Catching It Before It Costs: The Power of Daily Claims at Candesa with Rx Concierge
Why Daily Claims Matter
One of the biggest drivers of Rx Concierge’s success is our daily claims review process. By receiving real‑time claims data directly from your PBM, our pharmacists can:
- Identify opportunities sooner
- Prevent unnecessary or duplicative fills
- Coordinate efficiently with pharmacies and providers
- Reduce waste and improve the member experience
Without daily claims data, interventions may be delayed, outreach accuracy can decrease, and program engagement and conversion may be impacted.
Real-World Example: A member was switched from two medications to another different medication. While the new medication was filled via mail order, the prior medications continued to auto‑refill at a neighborhood pharmacy.
Because Rx Concierge reviews claims daily, our pharmacists:
- Detected ongoing fills of the discontinued medication
- Contacted the pharmacy to stop automatic refills
- Prevented unnecessary dispensing, confusion, and excess cost
Want to learn more about the power of savings with Rx Concierge?