Contract Operations

So Much More Than Just Processing Claims

Medicaid Programs

At PharmaMetrics, we manage and administer all State Medicaid Programs.

Among the services we provide:

  • Receipt of invoices from states (both paper and electronic)
  • Reconciliation of all State pricing values with CMS pricing
  • Validation of all utilization
  • Reconciliation of inconsistent or inappropriate utilization with State invoices
  • Direct payment to states if requested
  • Processing of all finished claims, generating State ROSIs and PQASs
  • Support of all analytical reporting requirements

PharmaMetrics is pleased to announce that we now offer Payment Processing Services to our clients. A client-specific escrow account will be setup to be funded by the client utilizing this service. All invoices processed and ready for payment will go through a client approval process before payments are made.

For more information regarding this service please contact us 215.274.1316

  •  “What sets PharmaMetrics apart is the depth and breadth of their true business knowledge.”
            -- Director, Contracts, Top 20 Pharma

  • “PharmaMetrics solutions can either be a complete business solution or independent modules that supplement your current business infrastructure.”
            -- Director, Contracts, Top 20 Pharma

  • “The implementation was easy and I didn’t need any training whatsoever. If you know how to do your job – the system follows your process. You don’t have to change your process to meet the systems needs.”
                -- Director, Corporate Compliance, Dermatological Company

  • “The industry experience and knowledge of their expanded team of experts sets them far apart from other service providers within the industry.”
                -- Director of Contracting, Amarin Pharma Inc.

  • “PharmaMetrics offers the services and software to handle all of our Managed Markets needs from front-end pricing analytics to the ban-end contract administration.”
            -- Sr. Director, Contract Management, Top 10 Pharma

  • “The robust reports generated enable more accurate forecasting and financial analysis.”
            -- Sr. Director, Top 10 Pharma