Pharmacy Adjudication Leaders

Offering you a different perspective on claims processing.

Why Use PAL? Contact Us

Imagined by Pharmacists, Built For Businesses

Born out of frustrations over antiquated, manual and unnecessarily repetitive tasks in the claims billing process, Pharmacy Adjudication Leaders was founded in 2010 to provide pharmacies and payers an easier, better and smarter way of doing business. Smarter claims processing and better cost efficiency were at the heart of our solutions early on and they continue to be integral to our growing portfolio of services for pharmacies, payers and patients alike.

Services We Provide

PAL Provides a wide array of claims processing and auxiliary services
to help simply the world of pharmacy for you.

ScalA/RTM

Highly scalable A/R solution
Simplify and automate your house accounts
Fully managed accounts receivable

Loyalty/Discount card program

Tightly control your competitive pricing
Maintain U&C compliance
Improve loyalty with branded membership cards

Custom claims processing

Internal billing solutions
Custom payment collection
Imagine it and we'll build it

Pharmacy benefits management

PBM-as-a-Service
Automated eligibility management
Transparent pricing

Interfaces / EDI Solutions

Independence Medical / Cardinal
NCPDP to EDI clearinghouse
Custom built solutions

Rebate Processing

Administration of Manufacturer Rebate reporting
Add-on service to claims processing
Included in PBM-as-a-Service

Pricing

Select the service you are interested in to display pricing details below.

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Independent

$0.25

per claim
  • 100 claim monthly minimum
  • No maximums
  • No formulary
  • Get claims to switch
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Health System

$0.50

per claim
  • 100 claim monthly minimum
  • No maximums
  • Single formulary
  • Get claims to switch
  • Automated reporting
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Chain

$0.50

per claim, plus portal access cost
(starts at $300/month)
  • 100 claim monthly minimum
  • No maximums
  • Multiple formularies
  • Get claims to switch
  • Custom reporting
  • Access to PAL Portal
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Independent

$120

per hour
  • Custom coding priced just for independent pharmacies
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Health System

$150

per hour
  • Custom coding to meet your health system's complex needs
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Self-Insured

$25k

per month
  • Limited pharmacy network
  • Up to 1 million claims per year
  • No spread on drug pricing
  • No hidden fees
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Regional Plan

$50k

per month
  • National pharmacy network
  • Up to 10 million claims per year
  • No spread on drug pricing
  • No hidden fees
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National Carrier

$100k

per month
  • National pharmacy network
  • Up to 1 billion claims per year
  • No spread on drug pricing
  • No hidden fees
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Cardinal Health at-Home

$500

per month + 15¢/order
  • Automate DME and Supply orders
  • NCPDP → drop ship
    directly to patients
  • No manual ordering
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NCPDP to EDI

1%

of net collections
  • Medical claims clearinghouse
  • NCPDP → Medical claims
  • Automated x12 837 billing
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Custom

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  • Custom coded to meet your business needs
  • Connect disparate system
  • Automate manual tasks
  • Simplify workflows
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Manufacturer Rebate Processing

1%

of net rebates
  • Automated rebate processing
  • Rebate contract compliance
  • Standard NCPDP v04.01 format
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Get In Touch

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Tell us a little about you and your vision for the future.