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dippyfloppity

03/12/15 12:09 PM

#25454 RE: DartmouthDan #25446

From 8-k filed 1/27/2015:

Once a script has been billed and NHS PHARMA, Inc. has received an approval from the insurance payer

(Example, cost is $10, insurance approves acknowledgement of $10 charge),

the insurance payer will commit to pay the Pharmacy a specific amount.

($10.00 – as per PR dated 3Mar2015, “Insurance companies are committed to pay the total amount billed.”).

That committed amount is the amount that will be used to calculate the payments to NHS and will be invoiced to the Pharmacy.
Billing Services 7 ½%
Additional Services offered 1 ½%
NHSPS will receive a commission of 55% of total amount committed to the pharmacy from the Insurance payor from prescriptions and refills that have been generated by the Services NHSPS provides to MESA


So, to put this PPO nonsense and misinformation to bed, let us visit the $10 example math:

Claim: $10
Bill to insurance companies: $10
55% commission for NHSPS
7.5% + 1.5% in NHS services
Total Deductions = 64%
$10.00 x .64 = $6.40 deducted
Leaving $3.60 in profit, end of story. Until 10k and Q1 verifies.