Billing & Collection Solutions
Not Only a Pharmacy. A Strategic Reimbursement Partner for Complex, High-Dollar Claims.
New: Billing & Collections Solutions from Red Chip
Our focus is simple: ensure programs are fully and accurately reimbursed for the care they deliver.
Designed for providers treating complex, high-dollar conditions, our Billing & Collections Solutions help resolve delays, takebacks, short pays, denials, and the reimbursement challenges that drain program performance.
Let’s fix it together.
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Complex, High-Dollar Claims. Difficult Payers.Red Chip Has Proven Results.
With 25 years of reimbursement expertise, Red Chip has been the trusted reimbursement partner to a wide variety of providers across the United States. We’ve proven to be the national leader in handling some of the most complex and highest-dollar claims in healthcare.
Our work across rare disorders has earned the trust of 340B programs seeking peace of mind and dependable support in billing and collections.
We don’t just bill claims. We collect them.
Red Chip supports outpatient programs across the full spectrum of reimbursement challenges, from collections and denials to aging accounts receivable and emerging therapies such as gene therapy. Our team integrates seamlessly with yours to assure we collect all of YOUR money!
High-Dollar Claims Require High-Level Expertise
99.95% Collection Rate on High-Dollar Specialty Claims!
- With RCE you have predictable cash flow and long-term program sustainability.
- Fewer Denials, Fewer Audit Risks
Trusted experience supporting over 2,000 patients with complex, rare disorders.
- We’ve navigated and solved thousands of complicated insurance scenarios.
Red Chip removes the administrative burden from your clinic team by obtaining patient’s prior authorizations for you…allowing your team to focus on clinical care, not paperwork!
Your program receives the FULL reimbursement amount from the insurer, with EOB-level validation to ensure clean, auditable reconciliation.
- No reference pricing model with us
Relentless Claims Follow-Through
- We bill both medical and pharmacy claims utilizing UB-04, CMS-1500, and NCPDP forms and apps based on each payer’s preference
- We follow all 340B compliance guidelines which prevent duplicate discounting
- Our claims are submitted within 5 business days of when the patient’s delivery has been verified
Collections Assurance
Collections work is relentless—and payers know it. Calls get dropped. Departments change. You’re told to call back tomorrow, next week, or after “one more review.”
Red Chip stays in the fight through every handoff, half-answer, and disconnected call, protecting your revenue with the same urgency and persistence as if it were our own.
- Continuous payer portal monitoring with disciplined, structured follow-up intervals
- Denial management and appeals pursued directly with payer leadership until resolution
Insurance & Benefits Management
- Eligibility and benefits verification on every order – Assuring policy has not changed or been terminated
- Obtain Prior Authorizations & Pre-determinations – Freeing up your clinic team’s time!
- Coordination of Benefits (COB) – Preventing duplicate billing and recoupments
Gene Therapy Reimbursement Leadership
We have successfully billed AND COLLECTED the most hemophilia gene therapy claims in the U.S. (Hemgenix & Roctavian)
We help secure highly-detailed Single Case Agreements (SCAs) for each patient. Thus eliminating uncertainty around payment timing, payment routing, and reimbursement terms which protect your program from costly delays or disputes on high-dollar claims.
Our payer experience spans Commercial and Medicaid plans.
- Most billing teams are good at one payer type. We’re fluent in both which allows us to navigate differing rules and secure your program’s collections.
We engage directly with payers to ensure claims are submitted correctly, compliant from the start, and paid accurately reducing denials, delays, and downstream risk.
Built for Partnership
Red Chip exists to support your team and protect your program. We operate with transparency, accountability, and alignment so you always know where your finances stand.
- In hiring Red Chip, there are NO setup or implementation costs
- Our compensation is tied directly to successful collections. We don’t get paid until YOU get paid.
- Clear Explanation of Benefits (EOB) provided with monthly reporting