Overview

Command Center

Live overview of reimbursement risk, operations, package sync, and opportunities.

What to do next

Operator path
  1. First

    Check report reconciliation before trusting margin or recovery totals.

  2. Then

    Route the highest-dollar recovery, inventory, and call actions to owners.

  3. Done

    Leave the morning huddle with every top risk assigned or explicitly held.

Purpose

Your daily pharmacy command center. Review margin leakage, prioritize recovery work, and track operational health.

Use when

Starting the day, reviewing KPIs, prioritizing work.

Done when

KPIs reviewed, top recovery actions identified, daily workflow started.

Need the full workflow?

Open the Help center for role-based steps, glossary terms, and operating rules.

Main Street PharmacyJun 1 - Jun 30, 2026
Showing 5 of 5 tracked claims
Demo source5 claim rowsStatic scenario for workspace preview
ManagerX
Evergreen Ledger

-$20 recovered margin against $559 scoped leakage

Jun 1 - Jun 30, 2026 · 5 claims in scope · MAC appeals and below-cost reversals are the fastest path from leakage to recovered margin.

Recovered
-$20
-3.7% of $547 reimbursement
At risk
$559
-4% recovery coverage · 4 below-cost · 2 RTS
Gross margin (scoped)
-$20
-3.7% of $547 reimbursement
8.7% margin lift
Below-cost claims
4
$26 at risk
6.1% fewer below-cost
MAC appeal dollars
$26
4 appeal candidates
12.4% appeal growth
RTS risk
$507
2 Rx at risk
4.8% RTS reduction
Sync ops
2
Est. $4,890 annual impact
9.3% sync lift

Today in the pharmacy

Step 1Validate data
2 report checks
Validate import trust

Profit dashboards are only useful after report counts and payment fields reconcile to source files.

Next step

Confirm QS/1 NRx Daily Audit or PioneerRx totals reconcile before trusting margin.

Done when

Fill count, paid totals, patient-paid, reversals, rejects, and cost fields reconcile.

Admin
Step 2Recover revenue
$4.2K at risk
Recover underpaid claims

Below-cost generics and underpaid plans are the fastest path to measurable owner ROI.

Next step

Submit packet-ready below-cost claims before appeal windows expire.

Done when

Every below-cost claim is routed, recovered, denied, or assigned with a payer deadline.

Billing lead
Step 3Prevent loss
$2.8K exposure
Prevent inventory losses

Stockouts, short-dated returns, and high-cost overstock tie up cash and disrupt package fills.

Next step

Review stockout and short-date risk before package fills start.

Done when

Reorder, transfer, return, or buying action is assigned with an owner.

Inventory owner
Step 4Complete calls
18 calls due
Complete high-value calls

Will-call, sync, plan, and adherence calls protect fills before they become RTS or churn.

Next step

Filter Outreach to due calls and start the highest-priority script.

Done when

Each due call is completed, snoozed, escalated, or reassigned.

Outreach team

Reimbursement leakage trend

Demo trend

Leakage summary

Scoped
Below-cost
$264
RTS risk
$5072
Appeal opportunity
$264
Claims in scope
$5475
Total leakage$559

Plan / NDC profitability

PlanNDCDrugGross revenueAcq costGross marginRTS days
Caremark00093-1495-05Atorvastatin Calcium 20mg$1.80$17.25-$15.458
Express Scripts00002-8215-01Metformin ER 500mg$20.65$24.88-$4.232
OptumRx00378-5176-05Lisinopril 10mg$14.40$8.45$5.950
Humana55111-136-05Eliquis 5mg$505.31$511.22-$5.919
SilverScript68180-690-05Amlodipine 5mg$5.10$5.65-$0.550
Showing 5 of 5 tracked claim rows4 below-cost candidates

Outreach / action queue

8 shown
Submit MAC appeal for Atorvastatin Calcium 20mg
Due 2026-06-25
critical
Submit MAC appeal for Metformin ER 500mg
Due 2026-06-25
critical
Submit MAC appeal for Amlodipine 5mg
Due 2026-06-25
critical
Call Jane Smith about will-call pickup
Due 2026-06-16
high
Call Angela Moore about will-call pickup
Due 2026-06-16
high