redsail medical billing services

Easy Medical Billing for Clinical Services

TransactRx®, a RedSail company, helps pharmacies capture all the reimbursements owed from immunizations and clinical services. Pharmacies get their claims submitted, payments posted, and outstanding issues resolved. RedSail Medical Billing helps prevent underbilling, improper coding, and missing information.
medical billing services
New to medical billing?
RedSail Medical Billing can assist with Medicare PTAN (855B for immunizations).
Already working with another vendor?
Talk to us about seamless migration.

Key Features in Our Medical Billing Software

pharmacy payment rate
Payment rate near 100% for immunizations
pharmacy patient eligibility
Patient eligibility check in real time with follow-up information (if available from payer)
real-time edits
Real-time edits to minimize delayed or denied claims
capture all pharmacy revenue

Capture All Revenue

Influenza and pneumonia vaccines, COVID vaccines, point-of-care (POC) testing, COVID test kits, glucose monitors and supplies, nebulizer medications and supplies, therapeutic shoes for diabetics, surgical dressings, other DME products, Part B covered drugs, medication therapy management (MTM) – any contracted service in line with applicable state laws.
See Billable Products

How It Works

NCPDP® S1 transaction set expert: Submits X12 837 claims to medical payers by submitting standard pharmacy claims from pharmacy system to the switch.
Submits claims to Medicare Part B, Medicaid, and commercial payers.
NDC codes translated to appropriate CPT or HCPC codes (CPT required if service does not have NDC).
Easy posting of 835 ERA files in pharmacy billing system: 835 files referencing medical claim identifiers converted to 835 files referencing Rx numbers.
how medical billing works

Try RedSail Medical Billing

Fill out this quick form to learn more and schedule a dedicated RedSail demo. These special sessions are full of information and answers to your FAQs!