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For Health Plans, Health Systems, & Providers

ReimbursementCodes

ReimbursementCodes is the industry standard for pricing, claims, and reimbursement information. Providers, payers and affiliated healthcare organizations rely on our platform with its coding and clinical data sets; to power workflow, drive accuracy into reimbursements and create a clear understanding related to specialty drugs.

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For Pharma

Advisory Program

RJ Health provides an advisory service where manufacturers can deliver custom messaging to over 100 health plan clients, representing roughly 130 million lives. Connecting to this vast community of payers minimizes the common denials that many medical benefit drugs face when updates are introduced.

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Compendia Pricing Submissions

RJ Health works on behalf of manufacturers to guide and simplify pricing submissions, freeing up teams who can focus on moving the needle with drug commercialization. By leveraging the industry standard in specialty drug pricing and coding, ensure that you meet key deadlines for submissions to National Pricing Compendia.

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Our Methodology

Our reimbursement methodology is based on the expectation that every episode of care starts with a clinical diagnosis. From this foundation, we dedicate ourselves to delivering a transparent analysis of appropriate care that balances the lowest cost alternatives with positive outcomes for the patient.

RJ Health’s data combines clinical diagnosis and procedural coding matched to the right drug and dosage, as well as the most cost efficient specialty drug price.

Thanks to this proven approach, we stand at the intersection of medical drug reimbursement and count the nation’s leading Payers, thousands of Providers and most major Pharmaceutical Manufacturers as our customers.