Detect Suspicious Prescription Claims With Confidence

RxShield™ saves you time and improves claim payment accuracy. Fully integrated with PreShield™, PostShield™, QueryShield™, and CaseShield™, it identifies when prescription drugs are improperly billed based on company policies and guidelines.

Product Features

Identifies Rx abuse patterns by members.

Detects prescribers providing medications outside standard of care.

Regular integration of new and emerging fraud rules.

Customized analysis reports with pharmacy and medical data.

Quarterly industry updates with pharmacy, member, and prescriber alerts.

Cross-claim analysis between pharmacy and medical claims.

Download the Full RxShield™ Product Feature List