Providers

SPN Coder™/OPIS Licensure

Core Concept: Providing a subscription-based web tool to help providers bill and payers reimburse pharmaceutical claims correctly.

This product is available to payers and providers that are in need of sophisticated billing and reimbursement information. There are components of the database that have been made available on a subscription basis where the full application of OPIS is not warranted. Payers and providers can subscribe to the database in order to attain information to more effectively manage their daily business processes in regard to billing and reimbursing for pharmaceuticals. In addition, the OPIS application can be utilized or licensed, as a hosted solution, to the payer or provider for their own internal identification and recovery efforts.

OPIS Pre-Pricing™

Core Concept: Applying edits or pricing methodologies before the claims are submitted, thus eliminating inaccurate billing.

Pre-Pricing: SPN can provide pre-pricing services to look for under billing or overbilling scenarios.