The Elevate Provider Network provides solutions to enhance patient care.

The Elevate Provider Network continues to demonstrate an interest in the success of my business - third-party contracting aligns with my principles, and the Advanced Features are key to my performance improvements and the simplifying of my business operations!

Jason Turner, Moundsville Pharmacy, Moundsville, WV

With all the changes in healthcare, your pharmacy needs a partner to successfully navigate the managed care maze. AmerisourceBergen knows your business, and our PSAO, Elevate Provider Network, provides solutions to help you maximize profitability, improve operational effectiveness and enhance patient care. Our system tailors an optimal payer network model that negotiates the most effective contracts for your pharmacy–contracts that balance the need for patient access and profitability. An intuitive pharmacy analytics and benchmarking system helps you make better day-to-day decisions while our experts handle a range of managed care issues for you. With this unique combination of analytics, technology and professional services, Elevate Provider Network is strengthening our members presence in managed care and providing a smarter path to profitability.

Advocacy – Partnering to Champion the Independent Voice

AmerisourceBergen feels so strongly about the importance of your voice and role as a health care provider in your community that we have a dedicated government affairs team in Washington, DC, working tirelessly to support independent pharmacies across the U.S. healthcare delivery system. We are committed to advocacy with legislative and regulatory bodies to ensure you can continue to do what you do best, providing quality patient care in the vitally important community setting.

Visit our advocacy website, OurIndependentVoice.com, to stay current on the issues that affect pharmacists daily, to lend your voice to these important causes, and to learn more about how AmerisourceBergen is working on your behalf. Together, we can make a difference.

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Managed Care Cooperative That Represents More Than 4,500+ Independent Pharmacies

Payer Contract Negotiations

Elevate Provider Network’s data-driven approach allows us to model and negotiate smarter payer contracts on your behalf. This means you maximize your prescription profitability while reducing administrative time and maximizing staff productivity–so you can spend time on patient care.

Driven by our own proprietary pharmacy analytics system, Elevate Provider Network, has a long-term, sustainable strategy for managing the impact of preferred cost-share networks. We selectively consider the plans we join at the preferred or the standard cost-share level based on their terms of participation and patient incentives to ensure our independent pharmacy customers can continue to serve their communities. Our balanced approach carefully weighs patient access, patient incentives and a sustainable margin.

Our managed care network is 4,500+ members strong, and we negotiate contracts with 35+ PBMs for more than 7,500 plans. Together, a strong and healthy network elevates our members’ presence in managed care.

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Pre and Post Edit Services

As a member of the Elevate Provider Network, you’ll have access to a comprehensive pre and post edit solution that works with your pharmacy system. Powered by Change Healthcare (formerly Emdeon), think of it as spell-check for your claim submissions — a double check to make sure pharmacy system submits everything cleanly. With real-time edits for financial, administrative and legal compliance, as well as a customized suite of edits available only under this program.

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As Part of the Network, More Than 70% of Pharmacies Achieve 3+ Stars on Adherence Measures

Pharmacy Performance and Benchmarking

Beyond the reduction in under-reimbursed claims and improvement in profitability, your claims data will flow into to our proprietary pharmacy performance and benchmarking system. This provides visibility into your pharmacy’s performance on the critical underlying drivers of profitability and benchmarks it against your peers. It’s a patient-centric, rather than prescription-centric approach, and its interactive dashboards (like the Week-at-a-Glance report) draw attention to key performance indicators to help you make better business decisions.

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Central Pay Services

Improve cash flow visibility with Central Pay Services. PBMs don’t communicate post adjudication adjustments and PBM system errors may cause a prescription to not be paid at all. These claim errors leave money on the table, negatively impacting cash flow and gross profit. Elevate Provider Network’s Central Pay Services are included in your membership and are fully integrated with our Reconciliation Services.

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Reconciliation Services

Fully integrated with our Central Pay services, Elevate Provider Network’s claim reconciliation service, powered by FDS, a leading vendor in reconciliation services, is included in your membership. Our reconciliation service enables pharmacies to easily view their cash tied up in receivables and to simplify and systematically conduct the critical task of reconciling third party payments. It verifies third-party payments, pinpoints underpaid claims, prevents missed checks from going unnoticed and includes tools to help you chase claims, all designed to help you avoid write-offs. And, because it is part of our interoperable suite, you don’t have to pay extra to have your claims imported into the reconciliation system.

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MAC Pricing Challenges

Elevate Provider Network is a market leader in MAC research and resolution as demonstrated by our success in 2015 with over 4,300 MAC challenges won! These wins affected 2,100 NDCs with over 600,000 claims filled. We attribute this success to our proactive and targeted approach. With over 1 million claims now received and loaded into our Pharmacy Performance system each week from our members, we have a highly representative mix of pharmacies that allows us to effectively identify and spot negative-margin MAC prices and other market trends that affect the entire network of pharmacies. Members also have access to our MAC Action Center, where they can view active challenges, cases with favorable outcomes, legislation pending, and much more.

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500 PBM Challenges Per Week: 25% Receive Favorable Outcome

Patient Engagement Center

Elevate Provider Network provides members with access to the industry’s leading tools for Star Ratings improvement, the Patient Engagement Center and Pharmacy Now, powered by PrescribeWellness. These tools allow you to track up-to-the-day performance on Star Ratings medication use measures for Medicare patients; easily identify patients that are underperforming (negatively impacting your score) so you can provide them additional support; instantly fax physicians for medication use interventions; clearly show your staff the patients due into the pharmacy every day and the services available for those patients; and conduct MTM with one-click access to MirixaPro℠.

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Elevate Provider Network Mobile App

We know that reimbursement is your number one issue, and that managing cash flow is important to your pharmacy operation. Our, “first of its kind,” Elevate Provider Network Mobile App notifies you on your smart phone every day with the next day’s deposit information, giving you access to key information, anytime, all in one place, all in the palm of your hands. Star Ratings graphics show performance against key measures, a daily summary of your Central Pay deposits with breakdown by PBM and a task list that tracks your credentials. You also get instant notifications when licenses and insurance certifications are about to expire.

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Contact the Elevate Provider Network

To learn more about the Elevate Provider Network contact your AmerisourceBergen Sales Associate or contact the Elevate Help Desk via the following:

Phone: (888) 880-1388
General Fax: (845) 483-1778
Email: elevate@amerisourcebergen.com

Helpdesk Hours
Monday – Friday
9:00 am ET/6:00 am PT – 8:00 pm ET/5:00 pm PT
Hours may vary during National Holidays