Benefits
gojiRx is a patient access solution for medical cannabis claims
Customer
• Provide direct billing to insurers • Simplify the claims process • Enable real-time coverage response • Remove payment obstacles • Maximize utilization of coverage • Lower out-of-pocket costs • Eliminate insurance paperwork
Why Us!
Gap: Medical Cannabis Claims Processing
The unique regulatory process of prescribing and retailing medical cannabis has created a gap in processing electronic insurance claims to adjudicators under the jurisdictional standard for Canada, the Canadian Pharmacy Association (CPhA) Pharmacy Claim Standard (PCS).
Solution: gojiRx
gojiRx addresses this gap with real-time electronic adjudication supporting all adjudicators and networks in Canada that use the CPhA PCS. It is available to any licensed producer (LP) or retail pharmacy with a Health Canada cannabis license and set up as a health service provider under an adjudicator claims payment agreement.
Advantage: You!
Our platform enables effortless direct submission of claims to Veterans Affairs Canada (VAC) and their benefits administrator on behalf of your veteran customers. We also support submitting claims to a large number of insurers for privately-insured individuals who are covered for medical cannabis.
Our Services
Largest
We are the largest medical cannabis electronic claims processor in Canada.
APIs
gojiRx has a standard set of RESTFuL application programming interfaces to allow the retailer to fully automate the triggering of electronic claims from its technology ecosystem. These can be tailored to meet the unique workflow needs of retailers.
CPhA Gateway
gojiRx has a powerful gateway that manages traffic and routes the medical cannabis claim to the appropriate claims network and adjudicator and the response back to the retailer.
UI
gojiRx’s user interface provides system administrator accounts to manage configuration such as product catalogues and reporting. Retailer agent user accounts are also available for manual data input of the claim or as a back-up to the retailer technology ecosystem.
Honoured to help
We’re honoured to support Canadian veterans and those still actively serving. If you’re a veteran, you may be eligible for financial support for your medical cannabis through Veterans Affairs Canada (VAC). VAC provides reimbursements via Blue Cross to veterans across Canada towards both dried cannabis and its equivalent in other cannabis forms, up to 3 grams per day (or 90 grams per 30-day period) and up to $8.50 per gram. It also covers the full cost of shipping your medical cannabis. This means you can select same-day (if available in your area) or express shipping at no extra cost, ensuring you receive your medication as quickly as possible. In many cases our partners will cover the difference - so you are never out of pocket.