What We Offer

OUR SERVICES

Audit Preparedness

AUDITPILOT

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PharmPilot's proactive audit preparedness service — the first line of defense against PBM audits.

Of all PBM audit types, the most concerning are invoice shortage audits. PBMs and governmental programs treat invoice shortages as telltale signs of fraud and abuse. Countless pharmacies have lost their PBM contracts as a result. Adverse findings also result in payment holds, withholdings, terminations, and in some cases criminal prosecutions.

AuditPilot prepares pharmacies for invoice shortage audits by combining deep understanding of pharmacy practice with sophisticated analytical tools to anticipate problems before audits happen.

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Claims Data ProcessingClaim records are continuously collected and categorized

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Purchase Records ProcessingAll purchase records are collected, processed, converted and normalized

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Reconciliation & AnalyticsUsing our unique coding databases and AI tools, we reconcile purchase and claims records and analyze your data monthly

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Results Delivery & SummaryFindings delivered to decision makers in an easy, relevant format highlighting recommendations and areas of concern

AUDITPILOT

Proactive audit preparedness — detecting problems before PBMs do

Claims

Processing

Purchases

Normalization

Reconciliation

AI-Powered

Reports

Monthly

AUDITSIGNAL

AI-powered anomaly detection and pharmacy benchmarking

Red Flag Detection92%

Outlier Analysis87%

Benchmarking95%

AI Anomaly Detection

AUDITSIGNAL

Finding anomalies and trends that lead to audits and investigations — and comparing your store's performance to others.

At PharmPilot, we believe every pharmacy can succeed when armed with the right data and tools. We bring a comprehensive, unique perspective on your pharmacy's data — parsing it to detect outliers, identify trends, see red flags, and compare your pharmacy's metrics to those of others.

Purchase Data AnalysisAnalyzing purchase data to determine problematic purchases and outliers

Red Flags DetectionHigh audit probability claims, problematic purchases, unusual claim trends, and other anomaly detection

Identification of OutliersAnalyzing purchase activity to detect significant outliers compared to the entire universe of purchase data

Inventory AnalyticsInventory aging reports and analytics

AuditScoreA simple, comprehensive measure of your pharmacy's audit compliance

Transaction Support

BUY/SELL AND VALUATION SUPPORT

Providing prospective buyers with deep insight into pharmacy operations. Helping sellers put their best foot forward. Uncovering hidden value from contextual analysis of data.

Today's pharmacy practice is multi-faceted and complex, driven in large part by reimbursement trends. While traditional due diligence methods focus on easily observable criteria, they are nowhere near painting the full picture. Data-driven due diligence assisted by PharmPilot is critical when evaluating a pharmacy purchase.

Sellers can rely on PharmPilot to present an attractive story by highlighting value-adding factors. PharmPilot also works closely with pharmacy brokers and valuators to unlock critical information hidden in massive and constantly evolving streams of operational data.

BUY / SELL

Data-driven valuation and transaction support

Buyers — Full operational picture before purchase

Sellers — Highlight value-adding factors

Brokers — Unlock hidden data-driven value

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WHICH SERVICE IS RIGHT FOR YOU?

Our team will help identify the best approach for your pharmacy's specific situation and goals.