RecRx

JSON twin: https://www.healthaidb.com/software/recrx.json

Company Name

Net-Rx

Product URL

https://net-rx.com/products/recrx/

Company URL

https://net-rx.com/

Categories

• administrative Operations
• financial Management
• revenue Cycle
• Administrative
• Claims Reconciliation

Summary

RecRx is a pharmacy claims reconciliation platform that automates matching insurance payments to dispense system claims data, ensuring accurate third-party reimbursements and enhancing cash flow for pharmacies.

Description

RecRx simplifies the reconciliation of pharmacy claims by automating the matching process between adjudicated claims data and actual payment amounts received from third-party payers. It identifies discrepancies, such as missing or short-paid claims, and provides tools to track expected funds, achieving up to 100% third-party reconciliation. The platform offers features like automatic claims-to-payment matching, easy-to-understand reports, and maintains payment history across software or vendor changes. Additionally, RecRx provides optional add-on services, including Third-party Accounts Receivable, Archive Assistance, and Aging Assist, to further streamline financial operations for pharmacies.

Api Available

unknown

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 9001

Company Founding

2003

Company Offices

• United States

Compliance

• HIPAA
• SOC 2
• ISO 27001

Customers

• Ambulatory Practice
• Hospital / Health System
• Digital Health Provider

Data Residency

US-only

Data Standards

• HIPAA
• HL7
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Automated matching of adjudicated claims data to actual payment amounts
• Identification of missing and short-paid claims
• Quantification of expected incoming funds
• Automated electronic remittance advice (ERA) collection
• Conversion of paper remittances into electronic 835 files
• 24/7 secure portal access for real-time data review
• Simplified payment views from third-party payers
• Import of prescription claim-level payments into dispensing software
• Identification of missing checks, DIR fees, and payer takebacks
• Insight into fees and adjustments
• Personalized aging date range buckets
• Robust reporting package including missing remit reporting and average DSO per payer report
• Medicare Prescription Payment Plan (M3P) copay smoothing report

Id

SW1856

Integration Partners

• IBM SPSS Statistics
• Digital Business Solutions
• Micro Merchant Systems
• Beacon Technologies Group

Integrations

• Electronic Remittance Advice (ERA) systems
• Dispensing software
• Banking systems

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Third-party Accounts Receivable
• Archive Assistance
• Aging Assist

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW1856

Product Name

RecRx

Ratings

• 2.6/5 (G2)
• 4.2/5 (G2)
• 4.8/5 (G2)

Regions Available

• United States

Related Urls

• https://elion.health/products/net-rx-recrx

Release Year

1989

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• Pharmacy Claims Reconciliation
• Third-party Reimbursement Verification
• Financial Analytics

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• pharmacists
• pharmacy managers
• financial officers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Its easy to use but many cons.
• Great, user friendly program.
• Complex UI, yet cost effective tool.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "RecRx",
  "company_name": "Net-Rx",
  "product_url": "https://net-rx.com/products/recrx/",
  "company_url": "https://net-rx.com/",
  "related_urls": [
    "https://elion.health/products/net-rx-recrx"
  ],
  "product_code": "SW1856",
  "summary": "RecRx is a pharmacy claims reconciliation platform that automates matching insurance payments to dispense system claims data, ensuring accurate third-party reimbursements and enhancing cash flow for pharmacies.",
  "description": "RecRx simplifies the reconciliation of pharmacy claims by automating the matching process between adjudicated claims data and actual payment amounts received from third-party payers. It identifies discrepancies, such as missing or short-paid claims, and provides tools to track expected funds, achieving up to 100% third-party reconciliation. The platform offers features like automatic claims-to-payment matching, easy-to-understand reports, and maintains payment history across software or vendor changes. Additionally, RecRx provides optional add-on services, including Third-party Accounts Receivable, Archive Assistance, and Aging Assist, to further streamline financial operations for pharmacies.",
  "categories": [
    "administrative Operations",
    "financial Management",
    "revenue Cycle",
    "Administrative",
    "Financial Management",
    "Claims Reconciliation"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "pharmacists",
    "pharmacy managers",
    "financial officers"
  ],
  "specialties": [
    "Pharmacy Claims Reconciliation",
    "Third-party Reimbursement Verification",
    "Financial Analytics"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2003",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated matching of adjudicated claims data to actual payment amounts",
    "Identification of missing and short-paid claims",
    "Quantification of expected incoming funds",
    "Automated electronic remittance advice (ERA) collection",
    "Conversion of paper remittances into electronic 835 files",
    "24/7 secure portal access for real-time data review",
    "Simplified payment views from third-party payers",
    "Import of prescription claim-level payments into dispensing software",
    "Identification of missing checks, DIR fees, and payer takebacks",
    "Insight into fees and adjustments",
    "Personalized aging date range buckets",
    "Robust reporting package including missing remit reporting and average DSO per payer report",
    "Medicare Prescription Payment Plan (M3P) copay smoothing report"
  ],
  "optional_modules": [
    "Third-party Accounts Receivable",
    "Archive Assistance",
    "Aging Assist"
  ],
  "integrations": [
    "Electronic Remittance Advice (ERA) systems",
    "Dispensing software",
    "Banking systems"
  ],
  "data_standards": [
    "HIPAA",
    "HL7",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 9001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US-only",
  "customers": [
    "Ambulatory Practice",
    "Hospital / Health System",
    "Digital Health Provider"
  ],
  "user_reviews": [
    "Its easy to use but many cons.",
    "Great, user friendly program.",
    "Complex UI, yet cost effective tool."
  ],
  "ratings": [
    "2.6/5 (G2)",
    "4.2/5 (G2)",
    "4.8/5 (G2)"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "1989",
  "integration_partners": [
    "IBM SPSS Statistics",
    "Digital Business Solutions",
    "Micro Merchant Systems",
    "Beacon Technologies Group"
  ],
  "id": "SW1856",
  "slug": "recrx",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/recrx.json"
  }
}