Third Party Billing Resources
PAS has created a series of resources to improve public and pharmacy staff understanding of third-party insurance billing. Many patients are not aware whether their coverage issues stem from the pharmacy or insurance providers, which PAS knows leads to stressful interactions between pharmacy staff and patients.
These resources were created to improve patient understanding of prescription coverage, reduce conflict for pharmacists when patients encounter insurance issues, and support pharmacy staff with tools to improve workflow efficiency.
They include:
- Pharmacy Staff Checkbox Tool – Click Here
- A quick-reference document listing common billing issues to discuss with patients.
- Helps streamline communication without disrupting workflow.
2. Patient Handouts
- Short printouts explaining common insurance issues.
- Can be placed in prescription bags or given at pickup.
- EDS Brochure – Sept. 2025 Download and Print Here
- Special Support Brochure – Sept. 2025 Download and Print Here
- Miscellaneous Messages 1 – Sept. 2025 Download and Print Here
- Miscellaneous Messages 2 – Sept 2025 Download and Print Here
3. Public Infographic – Download and Print Here
- A simple visual guide showing roles and responsibilities of pharmacies compared to insurance providers and when to contact the pharmacy vs. the insurer.
- Designed to reduce frustration and save time at the counter.
Third Party Payor Working group
PAS is a part of the third party payor working group along with the other Provincial associations, organized by the CPhA (Canadian Pharmacists Association).The main goals of the group are to determine issues related to reimbursement of pharmacy benefits that impact the ability to provide quality care, address these issues and improve the working relationship with third party payors (adjudicators, private payors, insurance companies) to achieve these goals.
