See the loss on the fill, not on the statement.
Plenty of pharmacies get real value from Net-Rx, and RecRx does a demanding job carefully. A pharmacy running it is ahead of one that is not. What we add is a second question, asked at a different moment: what the fill was worth against what the drug cost you, about a minute after the claim comes back.
Reconciliation coverage published with its working shown.
A coverage claim that shows its working
Net-Rx states RecRx "achieves up to 100% third-party claims reconciliation", and then breaks it down: 99% through automated electronic remittance advice collection and 1% through converting paper remittances into electronic 835 files. Publishing the composition of your own headline number is worth more than the number, and it is the most useful sentence on their site.
Genuine pre and post architecture
Script-IQ evaluates claims, in their words, "before the transaction hits the switching system and payer processor". EditRx applies proprietary analytics with a dedicated Reimbursement Analyst to detect billing and database errors after processing. Net-Rx describes the pair as insight into the claim "both before and after processing". That is a designed pairing.
Remittance work done thoroughly
RecRx matches payments to claims and to the adjudicated promise to pay, identifies missing checks, transaction fees and payer takebacks, tracks aging and average days to pay, retains downloadable financial data for up to four years, and can import claim level payments back into the dispensing software. Net-Rx also states it can obtain electronic EOB files from any payer that offers them, including state Medicaid.
MHA distribution and contract validation
Net-Rx operates as part of Managed Health Care Associates, and Contract Assure is an exclusive tool for MHA members verifying that long-term care pharmacies are paid according to the MHA Long Term Care Network contracted rate for Medicare Part D plans. If you are an MHA member in long-term care, that is a real and specific benefit no outside vendor can replicate.
A perfectly reconciled claim can still be a loss.
Reconciliation answers whether you were paid what adjudication promised, and it answers it well. A claim that adjudicates at ninety-four dollars against a hundred and eight dollars of acquisition cost, and pays exactly ninety-four, reconciles perfectly. Nothing was underpaid. The fill still lost fourteen dollars, and it will lose it again on the next forty. We price the fill against your own invoice cost about a minute after adjudication, so the loss is in front of you while you can still act on it.
Two different questions, asked at two different times.
Net-Rx publishes its product line clearly, so their column here is unusually well sourced.
| Capability | Attergo | Net-Rx |
|---|---|---|
| Payment to claim reconciliation | Remittance is tracked to the claim through the billing loop. | Yes, and it is the core competence. Up to 100% coverage by their own account, composed of 99% electronic and 1% converted paper. |
| Takebacks, fees and missing remittances | Surfaced where they appear in the remittance stream. | Yes. Explicitly identifies missing checks, transaction fees and payer takebacks, and tracks aging and days to pay. |
| Pre-submission claim quality checking | Documentation and eligibility are checked before a clinical claim is submitted. No dispensing-side pre-edit service. | Yes, via Script-IQ, before the transaction reaches the switch. Custom designed for long-term care pharmacies. |
| Post-processing edit review with an analyst | No. Exceptions arrive as work items for your own staff. | Yes. EditRx pairs proprietary analytics with a dedicated Reimbursement Analyst. |
| Margin at the moment of adjudication | Yes. Every fill priced against your own invoice cost within about a minute, with the cost source labeled and an unknown cost never displayed as profit. | Not stated. Their reconciliation is against the adjudicated promise to pay. |
| Clinical services billed on the medical benefit | Yes. Immunizations, testing and reviews become 837P claims tracked to the 835. | Not stated in their published materials. |
| PBM audit evidence assembly | Yes. Evidence bound to the claim as the work happens, exported as a response package. | Not stated in their published materials. |
| Contracted rate validation inside a buying group | No equivalent. We are not a GPO. | Yes, for MHA members, via Contract Assure against the MHA Long Term Care Network rate. |
| Published pricing | Yes. Flat and per store. | Not published. |
Every entry in the Net-Rx column is drawn from the pages listed at the foot of this page. Where their own materials do not state a capability, the cell says so rather than guessing.
Two honest recommendations.
Choose Net-Rx if
your need is payment verification and you want it bundled with MHA. If you are a long-term care or combo pharmacy inside the MHA network the case is stronger still: Contract Assure validates your negotiated network rate, Script-IQ was purpose built for long-term care claim checking, and neither is available from a vendor outside the group. A pharmacy that is confident in its purchasing and its contracts, and wants certainty that every dollar promised actually arrived, is buying the right thing.
Choose Attergo if
you want the loss in front of you before the statement cycle rather than after it. You do not have to choose today. We read the adjudication response and your wholesaler invoices, we do not sit in the remittance path, and a pharmacy can run both for a quarter and compare what each one caught. If reconciliation is finding everything, keep it and save your money. If the margin view surfaces losses that reconciled perfectly, you have found money that was never going to appear on a remittance.
The capability that carries most of this weight on our side is Margin, and it is one of eight on a single connection.
Every claim above traces to their own words.
- Net-Rx: RecRx product page, the 99% and 1% reconciliation split, takebacks, aging and four-year retention
- Net-Rx: Script-IQ, claim evaluation before the switching system, designed for long-term care
- Net-Rx: EditRx, post-processing analytics with a dedicated Reimbursement Analyst
- Net-Rx: the full seven-product line, including Contract Assure, Metric-Rx and Price-It Rx
- Net-Rx: About, operating as part of Managed Health Care Associates
- Net-Rx: retail chain and community page, listing five of the seven products
- Net-Rx: FAQ, the definition of electronic claims reconciliation and electronic EOB coverage
What we could not verify
Net-Rx publishes no pricing, no customer count and no named dispensing system integrations, so we make no claim about any of the three. We also found no published connection between Net-Rx and 340B services, and therefore say nothing about it in either direction. Their line is packaged differently for different segments, so confirm with them exactly which products yours includes.
Run both for a quarter and compare what each one caught.
Thirty minutes, one facility, a read-only connection and credentials you can revoke. We come back with what your own last month actually cost you.
Comparison based on publicly available information as of 2 August 2026. Tell us if something here is out of date and we will fix it. sales@attergo.com