Find billing errors before it’s too late.

PhoxAudit helps pharmacies protect their revenue by identifying prescriptions that may have been billed incorrectly or do not meet LU or intervention code requirements. By flagging high-risk claims early, pharmacies can correct issues before they are recovered by ODB or other third-party payers.

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A pharmacist holding a tablet showing the PhoxAudit dashboard
A pharmacist in a mask and gloves reviewing a claim on a tablet
PhoxAudit's flag list, with each prescription's LU code and the reason it was flagged
Why it matters

Billing errors are costly.
Find them before they find you.

Billing errors can lead to costly clawbacks from government programs and third-party payers. These issues are often difficult to identify manually and may go unnoticed until an audit occurs.

PhoxAudit proactively scans prescriptions and highlights claims that may have been billed incorrectly—helping pharmacies correct issues early and reduce financial risk.

Errors go undetected

Billing issues are difficult to spot manually and often only surface during a formal audit.

Clawbacks are costly

Recovery actions from ODB and third-party payers can result in significant financial loss.

Early detection prevents loss

Correcting issues before recovery actions occur protects revenue and reduces compliance risk.

✦ Identify Billing Risks Early

What PhoxAudit
checks for you.

PhoxAudit analyzes prescriptions and billing conditions to help pharmacies identify potential issues before recovery actions occur.

01

Incorrect LU Code Detection

Identify prescriptions where LU codes may have been used incorrectly.

02

Intervention Code Verification

Detect prescriptions that may not meet intervention code requirements.

03

Recovery Risk Identification

Highlight claims that may be subject to recovery by ODB or other payers.

04

Potential Recoverable Amounts

Estimate the financial impact of incorrect billing conditions.

05

Risk Stratification

Prioritize prescriptions with the highest risk of recovery.

06

Easy to Use Interface

Quickly review flagged claims and take corrective action.

Flag and fix billing issues

Review flagged claims.
Act before it costs you.

PhoxAudit allows pharmacies to review flagged prescriptions and quickly determine the reason for potential billing issues. By providing clear explanations and recommended actions, the platform helps teams resolve errors before they result in financial recovery.

This proactive approach helps pharmacies maintain compliance while protecting revenue.

PhoxAudit — Flagged Claims
Rx #4821093 — Metformin 500mg Billed: 2025-02-14 · ODB
LU code 532 may not meet eligibility criteria for this diagnosis.
High Risk
Rx #4819544 — Atorvastatin 40mg Billed: 2025-02-11 · ODB
Intervention code MR applied — no documented pharmacist record found.
Medium Risk
Rx #4817801 — Ramipril 10mg Billed: 2025-02-08 · ODB
Quantity exceeds standard supply limit for this drug class.
Review
Protect your pharmacy revenue

Visibility into risk.
Confidence in every claim.

With PhoxAudit monitoring billing conditions and prescription data, pharmacies gain visibility into potential clawback risks and can address issues early— reducing financial loss and improving operational confidence.

Reduce clawback exposure

Catch billing errors early and correct them before recovery actions are triggered by ODB or third-party payers.

Maintain compliance

PhoxAudit continuously monitors billing conditions, helping your pharmacy stay aligned with payer requirements.

Act before it's too late

Proactive identification means your team can resolve issues before they escalate into costly recovery processes.

Stop losing revenue
to billing errors with PhoxAudit.

Proactive detection. Early correction. Protected revenue.

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