Elevate Provider Network
Protect your independence
“Elevate Provider Network continues to demonstrate an interest in the success of my business. The third-party contracting aligns with my principles and the suite of pharmacy management tools is key to my performance improvements and the simplifying of my business operations.”
With all the changes in healthcare, your pharmacy needs a partner to successfully navigate the managed care maze.
Elevate Provider Network is a proven system that combines actionable analytics, technology and professional services to manage and maximize pharmacy performance while minimizing profit leakage. Our data-driven approach results in the optimal mix of payer contracts for your pharmacy—contracts that don’t sacrifice patient access or profitability.
Stand united with more than 5,000 members when you join Elevate Provider Network. Using our proprietary pharmacy analytics system, we model and negotiate smarter payer contracts with more than 40+ PBMs based on our long-term strategy for managing the impact of preferred cost-share networks. Our intuitive pharmacy analytics software also helps you make better day-to-day decisions to reduce costs and maximize profits.
By leveraging our technology solutions and allowing our managed care experts to handle a wide range of reimbursement issues, you’ll have more time to focus on your patients.
5.8% year-over-year Rx growth compared to 2.4% for non-Elevate members
Enabling you to concentrate on patient care
Payer contract negotiations that reflect the enhanced value you bring to your patients
Patient Engagement Center
Central Pay services
Peer benchmarking and competitive metrics
Reconciling third-party payments can feel like a tedious task that never ends, which is why our solution tracks every reimbursement for you and provides you with the tools you need to chase claims. We make it easy to verify your third-party payments, pinpoint underpaid claims, and prevent missed checks from going unnoticed. Elevate offers a self-service reconciliation option and a full-service Concierge Reconciliation Service option, where you simply verify your payments and FDS Amplicare handles the remaining reconciliation process.
Pre and post edit services
This crucial solution is like spellcheck for your claims. It automatically reviews every submission and makes real-time edits, so small mistakes don’t jeopardize your full reimbursement. Elevate and Change Healthcare have collaborated to create a suite of edits just for independent pharmacies.
Tools and resources
We provide you with easy access to the tools and resources you need to limit the impact that DIR fees have on your pharmacy business, conduct MTMs, enhance patient care and much more.
With decades of highly-relevant industry experience, Elevate’s expert contracting team negotiates payer contracts based on our long-term strategy of maximizing your viability.
Expanding your ability to provide clinical patient care
Hospice Pharmacy Connect
Partnering to champion the independent voice
Need managed care help? Contact the Elevate Help Desk.
General Fax: 845-483-1778
Monday – Friday
9:00 am ET/6:00 am PT – 8:00 pm ET/5:00 pm PT
Hours may vary during National Holidays