From the first launch to ongoing market access operational execution, IntegriChain solves some of the most complex and pressing challenges associated with drug commercialization. We deliver pharma’s only comprehensive data, consulting, and business process platform for market access departments, providing the strategy, data, applications, and infrastructure for therapy commercialization.
Solutions overview
IntegriChain delivers the pharmaceutical industry’s largest and only data and business process platform for therapy commercialization and access. Manufacturers rely on our analytics, applications, and managed services to power their operations and harness the value of their channel, patient and payer data.
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IntegriChain provides a complete set of professional services for commercialization and market access execution–from life science strategy and operational consulting to implementation, integration, migrations, and analytics.
Services overview
We help all stakeholders in the pharmaceutical industry drive access with our relentless focus on unifying all of the critical business functions for therapy commercialization and access – contracts & pricing, gross-to-net, channel, and patient services – to unlock strategic payer, provider, pharmacy and patient access insights.
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Learn more about joining our growing IntegriChain team of data scientists, market access experts, analysts, and consulting professionals – our culture, our purpose, our teams in the US and Pune. Check out our careers or keep in touch for future opportunities.
Careers overview
IntegriChain’s rebate management services offering allows manufacturers to scale their payer analytics and contracting functions to meet today’s complex commercial and government access challenges. Our industry’s leading rebate management offering is the first choice for life science companies in providing claims adjudication, handling all of your needs for your claims payments and rebate processing.
Our Payer Team helps you reduce risk and increase net profits while managing the ever-changing complexities of rebate management, contract management, processing, and analysis. By partnering with IntegriChain, you can focus time and resources on your managed markets strategies. We act as your trusted partner for government pricing as well as rebate processing — reliably, timely, securely, and efficiently.
Every year, we process hundreds of thousands of claims for a wide range of common fees (GPO, admin, distribution) as well as offer modules to support different rebate types (commercial, price protection, Medicare Part D, Coverage Gap, Medicaid, and TriCare).
Accelerate product launches and company acquisition through the scalability provided by managed rebate claims processing.
By interpreting contract language and rebate schedules, we provide streamlined, timely processing of payments and avoid interest penalties. Additionally, our expert teams reduce your risk associated with formulary compliance, price protection agreements, and also ensure accurate management of adjustments and disputes with payers and states.
Whether they’re for Managed Care, Part D, Tricare or Medicaid, rebates can be complex to adjudicate. Worse yet, improperly dealing with stacked rebates or complex bundles can lead to revenue leakage as well as compliance violations. Our team handles millions of transactions annually, helping pharmaceutical manufacturers stay ahead of industry intricacies.
Avoid the need to license or implement software, pay maintenance fees, or purchase and manage servers.
Given the growing volume of Medicaid rebate claims, even small discrepancies can add up to significant revenue leakage. Manufacturers are often burdened when trying to determine invoice-level validity without having Medicaid Claim Level Detail (CLD) at their disposal. Unfortunately, processing CLD reconciliation on your own can be complicated, and trying to claw back money via the traditional “pay-and-chase” approach is often costly, inefficient, and time-consuming.
As an add-on module to IntegriChain’s rebate management service, Medicaid CLD performs detailed validation of Medicaid claims, improving the ability to detect and reject invalid claims and eliminating over-payments and/or incorrect payments associated with the claims.
With IntegriChain CLD in place, one top-50 manufacturer identified $6 million in revenue leakage from a single state program, and on average, manufacturers utilizing CLD identify 1% to 2% of Medicaid liability in revenue leakage.
Download our Claim Level Data (CLD) eBook for more information.
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