340B Referral Capture with Advanced Claims Capture
Have you received a recent notification that impacts your ability to capture referrals?
AuthorityRx is approved to work with Wellpartner to capture referral claims for CVS pharmacies.
Their Advanced Claims Capture (ACC) solution helps significantly increase 340B savings through enhanced referral claims capture and by uncovering and resolving fallout claims. In fact, in some cases, it can nearly double capture rates and revenue.
ACC is the only truly automated solution in the industry. Other market differentiators:
TPA-Agnostic. There’s no requirement to change your current 340B TPA. It can also be used by pharmacy chains that utilize their own 340B TPA.
Performance-based savings. There is no fee unless they identify and capture additional referral prescriptions. Also includes a no-cost annual audit to help you stay compliant.
More insights. Entities also gain drug spend metrics and data that can identify and attract new patients and providers.
Some covered entities limit themselves by forgoing referral capture, leaving 340B dollars behind because of compliance concerns. ACC personnel support multiple HRSA audits each year for their clients.
Their automated ACC solution streamlines the audit processes while extending eligibility to outside providers using an approach that has been validated in multiple HRSA audits. It also delivers an unparalleled level of visibility and transparency and tracks the progress of claims throughout the process.
Speed to implementation is quick as only data from 340B TPA is needed, no cumbersome, costly, resource intensive integrations needed. Begin processing claims within a week or two — not months, enabling clients to realize savings quickly.
If you’d like to learn more, have questions, or need resources on SUNRx’s 340B program, please reach out to Lori Schilling at lschilling@sunrx.com. To schedule a call with AuthorityRx, please contact Aaron Lott at alott@authorityrx.com.