Your Pharmacy Dispenses Care. We Make Sure You Get Paid for It.
Anyone who’s ever stood behind a pharmacy counter knows the truth: billing moves at the speed of your dispensing queue. DUR edits ping, PBMs push back, and even a tiny NDC mismatch can halt your entire workflow. One error doesn’t seem like much, but several hundred scripts later… the losses get loud. SwiftCare Billing steps in exactly where pharmacies struggle the most. We keep claims accurate, compliant, and paid — without disrupting your operations. While you stay focused on patients and prescriptions, we handle the reimbursement maze that keeps your pharmacy profitable.
Pharmacy claims look simple from the outside. We know better. A single script can bounce back because of something as tiny as a mis-typed code or a pricing conflict. And when your team fills 200, 400, or even 1,000 prescriptions a day, those “small issues” turn into thousands in unrecovered revenue.
Every pharmacy sees these every day. We make sure they don’t slow you down or limit your payments.
We process and correct claims instantly to prevent costly delays and rejections. DUR edits, pricing errors, and PBM conflicts get resolved before they slow your cash flow.
Every claim is validated for the correct NDC, DAW code, MAC pricing, and HCPCS assignment. You avoid compliance issues and ensure the highest allowable reimbursement.
We manage PAs for high-cost and specialty medications to ensure patients have timely access to therapy—no more back-and-forth with insurers slowing your day.
We support oncology, rheumatology, infusion, and chronic-care pharmacies with precise medical and pharmacy billing workflows. Complex drugs get reimbursed without revenue leakage.
We take on stern PBM denials and underpayments with strong evidence-backed appeals. Your pharmacy recovers revenue that would otherwise be written off.
All logs, refill histories, and claim files remain protected in compliance with HIPAA and CMS requirements. Your pharmacy runs safely and confidently every day.
We integrate with most major pharmacy systems, so you don’t need to change anything in your workflow:
Whether you’re an independent pharmacy or a growing specialty provider, we plug right in.
Pharmacies that partner with us usually notice improvements within weeks. Here’s what makes our model work:
We understand pharmacy billing in the real world —not just the textbook version.
SwiftCare Billing takes the billing pressure off your staff and replaces it with predictable, clean reimbursements. If you want fewer denials, faster cash flow, and a billing partner who genuinely knows pharmacy operations, let’s talk.
