Choose your next appeal.
Prioritize by potential loss or time remaining, with the option to put appeals due today first.
BUILT FOR INDEPENDENT PHARMACIES
PBM Appeal Manager
Give every appeal a place.
Keep the evidence that goes with it.
FROM QUEUE TO CONFIRMATION
A workflow you
can follow.
Bring the supporting invoice.
Use claim information and invoice checks to prepare appeals. Missing documentation needs attention before submission.
Keep human steps manageable.
When CVS requires a CAPTCHA, enter it yourself in the application. The workflow continues from there.
Keep a searchable record.
Find saved submission confirmations and supporting invoices by claim, store, or PBM.
CLEAR EXPECTATIONS
Submission is a step.
Payment is an outcome.
The application’s projected recovery figures are estimates. A submitted appeal or saved confirmation does not guarantee approval or payment from a PBM.
Portal requirements still apply. CVS appeals require human CAPTCHA entry.
AVAILABILITY
Preparing for a wider release.
PBM Appeal Manager is in active development. Customer installation packages for Mac and Windows are being prepared and tested.