Both plans audit your full claims population, quantify exposure, and produce a defensible, per-claim correction package. The difference is who files the reverse-and-rebill. Pricing is a fixed fee, never a percentage of recovery.
AARIP finds the exposure and hands your team an execution-ready correction package. You file the reverse-and-rebill in your own pharmacy system. No connectivity or data submission by AYAANIS.
Everything in Audit & Worksheets, plus AYAANIS reverses and rebills eligible, documented clerical errors on your behalf through the switch, under your authorization.
| Capability | Audit & Worksheets | Managed Rebilling |
|---|---|---|
| Full-population audit and findings | ✓ | ✓ |
| Exposure and risk scoring | ✓ | ✓ |
| NCPDP B2/B1 correction worksheet + certificate | ✓ | ✓ |
| Appeals packages and extrapolation review | ✓ | ✓ |
| Comparative reimbursement intelligence | ✓ | ✓ |
| Who files the reverse-and-rebill | Your team | AYAANIS |
| Managed rebilling through the switch | – | ✓ |
| BAA + written agency authorization | – | Required |
| Fixed-fee, not a % of recovery | ✓ | ✓ |
Pricing is a fixed fee scoped to claim volume and locations, never a percentage of recovery. Managed Rebilling requires a signed Business Associate Agreement and written agency authorization before any claim is filed.
Twenty minutes, screen to screen. Bring a batch of claims and we will show you what AARIP finds and how the rebill gets filed.
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