Turn complex pharmacy claims into predictable revenue.
Turn complex pharmacy claims into predictable revenue.
Tideline RCM is an claim management platform designed for the claims that slow teams down. We connect your Pharmacy Management System and clearinghouses into one consistent workflow, giving you visibility and control from submission to payment. The result: faster resolutions, higher recovery rates, and operations that feel effortless.
Tideline RCM is an claim management platform designed for the claims that slow teams down. We connect your Pharmacy Management System and clearinghouses into one consistent workflow, giving you visibility and control from submission to payment. The result: faster resolutions, higher recovery rates, and operations that feel effortless.
TRACK & COLLECT
Higher payouts for your
most complicated claims.
TRACK & COLLECT
Higher payouts for your
most complicated claims.
customize to your workflow
Integrations
made easy
Integrations made easy
Tideline connects to your existing tech stack, so that you don’t have to manage data transfer from EHR or complex pharmacy systems.
EHR Systems
Clearinghouses
Workers comp
Practice software
Pharmacy
Benefit Managers
customize to your workflow
Integrations made easy
Tideline connects to your existing tech stack, so that you don’t have to manage data transfer from EHR or complex pharmacy systems.
EHR Systems
Clearinghouses
Workers comp
Practice software
Pharmacy
Benefit Managers
financial management
Track your full claims lifecycle
Track your full claims lifecycle
Tideline tracks from incoming claims with missing information, to underpaid claims that need follow up, to marking claims for reimbursement back to providers.
Submitted
Underpaid
Denied
Resubmitted
financial management
Track your full claims lifecycle
Tideline tracks from incoming claims with missing information, to underpaid claims that need follow up, to marking claims for reimbursement back to providers.
Submitted
Underpaid
Denied
Resubmitted
customize to your workflow
Collect higher first-submission claim payment
Collect higher first-submission claim payment
Tideline’s customizable business rules allow you to ensure proper claim formatting & helps ensure higher first-submission claim payment, and better follow up for appeals. Build & customize your own rules or have our team pre-build rulesets for your business needs.
Submission rules
Pricing Rules
Formatting Rules
Custom & Pre-built
customize to your workflow
Collect higher first-submission claim payment
Tideline’s customizable business rules allow you to ensure proper claim formatting & helps ensure higher first-submission claim payment, and better follow up for appeals. Build & customize your own rules or have our team pre-build rulesets for your business needs.
Submission rules
Pricing Rules
Formatting Rules
Custom & Pre-built
SOLUTIONS
Built for operators,
powered by simplicity
Designed to be secure beyond basic compliance. Track your full claim history.
Integrates seamlessly with the tools you already use.
USE CASES
Clinics & Pharmacies
We support revenue cycle management for in-office dispensing, and pharmacy operations. Specializing in out-of-network claims and workers' compensation, our product handles pharmacy billing across major Pharmacy Benefit Managers and workers' comp carriers. We integrate with your existing platform to provide full billing services—including initial claim submission, appeals and collections, and dispute management.
Clinics & Pharmacies
We support revenue cycle management for in-office dispensing, and pharmacy operations. Specializing in out-of-network claims and workers' compensation, our product handles pharmacy billing across major Pharmacy Benefit Managers and workers' comp carriers. We integrate with your existing platform to provide full billing services—including initial claim submission, appeals and collections, and dispute management.
Third Party Billers
We help third-party billers manage and recover out-of-network pharmacy claims across their provider networks. Tideline RCM integrates with provider pharmacy platforms to handle billing across payers—from submission through appeals and collections—so reimbursement stays predictable and providers stay supported.
Third Party Billers
We help third-party billers manage and recover out-of-network pharmacy claims across their provider networks. Tideline RCM integrates with provider pharmacy platforms to handle billing across payers—from submission through appeals and collections—so reimbursement stays predictable and providers stay supported.
SOLUTIONS
Built for operators,
powered by simplicity
Designed to be secure beyond basic compliance. Track your full claim history.
Integrates seamlessly with the tools you already use.
USE CASES
Clinics & Pharmacies
We support revenue cycle management for in-office dispensing, and pharmacy operations. Specializing in out-of-network claims and workers' compensation, our product handles pharmacy billing across major Pharmacy Benefit Managers and workers' comp carriers. We integrate with your existing platform to provide full billing services—including initial claim submission, appeals and collections, and dispute management.
Third Party Billers
We help third-party billers manage and recover out-of-network pharmacy claims across their provider networks. Tideline RCM integrates with provider pharmacy platforms to handle billing across payers—from submission through appeals and collections—so reimbursement stays predictable and providers stay supported.