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 advanced features are 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
Tools and services to maximize your margins
Payer Contract Negotiations
Patient Engagement Center
Central Pay Services
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.
- DIR Estimator
- Actionable Rx fill report
- Educational materials
- Star Ratings improvement tools
- Patient engagement tools
Pre- and Post-Edit Services
MAC Pricing Challenges
Elevate Provider Network is a market leader in MAC research and resolution as demonstrated by our success in 2018 with more than 3,800 MAC challenges won! We attribute this success to our proactive and targeted approach. With more than 3.2 million claims now received and loaded into our Pharmacy Performance system each week, we have a highly representative mix of pharmacy claims 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.
Pharmacy Performance and Benchmarking
In addition to reducing the number of under-reimbursed claims and improving profitability, your claims data will flow into 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.
Reconciling third-party payments is a tedious task that never ends, which is why our system automatically 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.
Tools to Help Patients Lower Out-of-Pocket Costs
Voucher On Demand: Automated Co-Pay Assistance Elevate Provider Network strives to help you bring more value to your patients and stay competitive in your local area. Powered by eRx Network, Voucher on Demand is an automated copay assistance solution that lowers a patient's out-of-pocket costs for more than 90 brand medications covering over 320 NDCs overall.
Expo Card Part of our ongoing commitment to independent community pharmacy, the Expo discount card allows your pharmacy to profitably compete for uninsured and underinsured patients. There is no annual membership fee and patients can get instant access to the card’s benefits. You don’t need to enroll patients individually. With fair, transparent pricing for you and your patients that is comparable to that of retail pharmacy chains, the Expo Rx Discount Card is both patient-friendly and pharmacy-friendly.
A multi-faceted approach to DIR fees
Empowering you to pursue new revenue streams
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