Reconciliation tells you that you were paid. Not that you should have been.
Plenty of pharmacies get real value from Net-Rx, and the reconciliation is not the weak part. RecRx does a demanding job carefully, and a pharmacy running it is ahead of one that is not. The gap is structural rather than qualitative, and it is the difference between verifying a payment and interrogating the price.
Reconciliation coverage most vendors would round up and Net-Rx does not.
A coverage claim that shows its working
Net-Rx states RecRx "achieves up to 100% third-party claims reconciliation", and then, unusually, 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 a small act of integrity that most vendors skip, 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", which is a deliberate design rather than two products that happen to coexist. Note the accurate description of Script-IQ is claim quality checking, not editing the format of a claim.
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 asks whether you were paid what adjudication promised. It is a very good answer to that question and it is silent on a different one: whether the promise was worth taking. 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 simply lost money at the moment of adjudication, and it will lose money the next forty times, because reconciliation compares the remittance to the claim and never compares either to your invoice. The same blind spot covers clinical work that was never billed, since there is no claim to reconcile. We price the fill against your own cost seconds after adjudication, which is a different question asked at a different moment.
Two different questions, asked at two different times.
Net-Rx publishes its product line clearly, so this table is unusually well sourced on their side. Note that Script-IQ and Contract Assure are gated: their retail and community page lists five of the seven products, and both of those are absent.
| Capability | Attergo | Net-Rx |
|---|---|---|
| Payment to claim reconciliation | Remittance is tracked to the claim as part of the billing loop, but this is not the product we would sell you against a dedicated reconciliation service. | 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. We do not offer a 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. Our exception handling is software plus your staff, not a staffed analyst service. | 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. The reconciliation is against the adjudicated promise to pay, not against acquisition cost. |
| 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 and cannot validate a network rate we are not party to. | 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, because an absence of marketing copy is not evidence of an absence of capability.
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, that case is stronger still: Contract Assure validates your negotiated network rate and Script-IQ was purpose-built for long-term care claim checking, and neither of those is available from a vendor outside the group. A pharmacy that is confident in its purchasing and its contracts, and simply wants to be certain every dollar promised actually arrived, is buying the right thing.
Choose Attergo if
you want to know about the loss before the statement cycle rather than after it. And you do not have to choose today. Nothing about evaluating us requires ripping out a reconciliation service: 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 simply look at 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 learned something a reconciliation product was never designed to tell you.
The product that carries most of this weight on our side is Attergo 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. One inconsistency worth knowing if you are evaluating them: the Reimbursement Suite is described as six products on its own page and as EditRx plus RecRx on the retail and community page, so ask exactly which products your segment receives before signing.
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. See something outdated? Tell us and we'll fix it. sales@attergo.com