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EzRx

EzRx

Claims

Approval back before the patient leaves.

EzRx is the insurance side of the counter — eligibility, prior approval, submission, remittance download and denial correction — live on Shafafiya, and taking in eRx prescriptions. It runs inside EzPOS, so a pharmacist never leaves the till to work a claim.

1M+

claims processed

3

payer gateways live

1 day

to onboard*

* Hardware and network ready on the day. Connecting your payer mailbox is scoped separately.

A customer at the pharmacy counter, served through the screen

Approved and connected

See every certification →

Shafafiya ReadyeRxOpenJetDaman

What it does

Every step between the prescription and the payment.

Most pharmacies lose money in the gap between dispensing and being paid — a denial nobody chased, a remittance nobody matched. EzRx closes that gap inside the dispensing workflow, not in a separate system somebody logs into on Thursdays.

Prescriptions in

The till downloads eRx prescriptions directly, external payer portals come in the same way, and offline or cash prescriptions are handled in the same queue.

Eligibility and prior approval

Online approval requests to the insurer, with the answer back before the medicine is handed over.

Submission

Claims for online and offline prescriptions submitted to the payer through Shafafiya.

Remittance and reconciliation

Prior requests, authorisations, submissions and remittances downloaded from the mailbox and matched, so you can see what was paid against what was claimed.

Denial correction

Denied claims are shown with their reason, corrected and resubmitted rather than written off at month-end.

Clinical safety on the way through

Drug-to-drug interaction warnings, recorded patient allergies, prescription history and insurer tier calculation as the medicine is selected.

A pharmacist opening a delivery at the counter

A day on the floor

How the claim actually goes.

STEP 01

The prescription arrives

It lands in the POS queue with the rest of the eRx prescriptions or from an external portal, with the patient's insurer, plan and TPA already attached.

STEP 02

The insurer answers

The approval request goes out and comes back while the patient is still at the counter. Interactions and allergies flag as the pharmacist selects.

STEP 03

The claim goes out

Dispensing generates the claim, which is submitted to the payer mailbox with the tier calculation applied.

STEP 04

The money is matched

Remittances download and reconcile against submissions. Denials come back with a reason, get corrected, and go out again.

Inside the product

Modules, in the order you'd meet them.

Three screens between the prescription and the bank. Each one closes a way for a pharmacy to work for free.

Prescription queue

Where dispensing starts: e-prescription and portal downloads, offline and cash prescriptions, prescriber and patient records, allergies and history. The pharmacist works one list instead of three screens.

E-prescription download Patient history

Approvals and submission

Where the claim is made: eligibility, prior authorisation, submission of online and offline claims, and the insurer, plan and TPA records behind them.

Prior approval Shafafiya

Reconciliation and denials

Where the money is recovered: remittance download, claim status, denial reasons, correction and resubmission. Rejections become work items rather than losses.

Remittances Resubmission

Proof

The denials queue stopped being a month-end job.

Approvals come back before the patient has left the counter, so the pharmacist is not guessing about cover any more. The denial list used to be a spreadsheet somebody worked through at month-end; now it is a queue that is empty most afternoons.

Rami Haddad

Insurance Lead · Gulf Care Pharmacies, Dubai

18 days

off the average remittance cycle

94%

of claims accepted first time

Deployment

One day on an existing EzPOS site — we register your insurers, plans and TPAs, load the authority prescriber list, and run the first submissions with your team watching. Connecting to Shafafiya depends on the authority's own onboarding, which we take care of but do not control the clock on.

Works with

Pairs with the rest of the suite.

Each of these does its own job. Most customers add the next one once the first has paid for itself.

Compare all products →

EzPOS

EzRx is the payer side of the same counter — the prescription, the approval and the claim never leave the till.

CCMS

When a chain wants one central team working every branch's claims rather than a pharmacist per site.

EzDx

Clinic prescriptions and claims run on the same payer connections.

AMS

Insurer payments arrive as identified receipts against receivables instead of unexplained bank lines.

Questions

The four things buyers ask first.

Is EzRx separate software, or part of EzPOS?

It runs inside EzPOS — the prescription, the approval and the claim are steps in the same workflow, against the same database on your own server. It is licensed as its own product because plenty of pharmacies buy the claims side first, and because it is the piece that pays for itself fastest.

Which insurers and gateways are you live on?

Approvals, claims and remittances go through Shafafiya, so every payer on that gateway is covered. The till downloads eRx prescriptions and prescriptions from external payer portals.

What happens to a claim the insurer rejects?

It appears in the reconciliation queue with its denial reason. You correct it and resubmit from the same screen — which is the whole point of having claims in the dispensing system rather than in a spreadsheet.

Can we see what an individual patient was dispensed and claimed for?

Yes, in the patient profile: prescription history, recorded allergies, and the claims raised against each visit.

See it on your own workflow.

Tell us which authority licenses you and what you run today. We'll configure the walkthrough for your market — thirty minutes, no slide deck.

A specialist replies within one business day

Onboarded in one day once you are ready

We review your data migration before you commit

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