Rebate Management

Rebate Management

Delivers Scale and Cost Savings through the Industry’s Leading Managed Services Platform for Claims Adjudication

Trusted Outsourcing to Drive Efficiencies
Our Rebate Management Managed Services offering allows manufacturers to scale their payer analytics and contracting functions to meet today’s complex commercial and government access challenges. Our Rebate Management offering is the industry’s leading provider of claims adjudication, handling all of your needs for your claims payments and rebate processing.

Scaling Your Business through Outsourcing

Our Payer team helps you reduce risk and increase net profits while managing the ever-changing complexities of contract management, processing, and analysis. We handle your contract management and claims processing so 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 modules to support different rebate types (commercial, price protection, Medicare Part D, Coverage Gap, Medicaid, and TriCare).

Featured Module: Claim Level Detail (CLD) Validation

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 Managed Service, 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.

Retrieve Claim Detail Faster

  • Leverages robotic process automation (RPA) to automatically download CLD details for more than 65% of state/programs
  • Significantly reduces turnaround time on CLD acquisition

Eliminate Data Wrangling Hassles

  • Standardizes data formats for easier processing
  • Leverage IntegriChain expert advisor on proper dispute formatting

Enable True In-Line Dispute

  • Automatically translate validation results to invoice-level dispute codes
  • Eliminates the cost, risk, and hassle of traditional pay-and-chase approaches

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.

Rebate Management Benefits

Scale Operations

Accelerate product launches and company acquisition through the scalability provided by outsourced claims processing. 

Reduce Risk

Reduce risk through low, predictable upfront costs.

Manage Increasing Complexity

Rely on our expertise, processing thousands of claims and rebates, to keep ahead of the industry’s intricacies.

Control Costs

Avoid the need to license or implement software, pay maintenance fees, or purchase and manage servers.

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