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ClaimsConnect
One Solution for Evolving 340B Requirements.
ClaimsConnect helps covered entities manage evolving requirements across MFP and rebates, State Medicaid, and manufacturer reporting in one connected workflow.
Multiple Requirements. One Connected Solution.
Different programs bring different rules, data requirements, and workflows. ClaimsConnect brings the work together so your team can manage it with greater visibility and less manual effort.
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MFP + Rebate
As MFP and the 340B Rebate Model change how covered entities manage eligible claims and reimbursement, ClaimsConnect gives your team a clearer way to manage the process from claim identification through rebate payment.
With ClaimsConnect, you can:
• Automate eligible claim submission
• See what's been submitted, accepted, rejected, and paid
• View rejection reasons directly within the platform
• Identify claims that need attention
• Track rebate payments and reconciliation
• Maintain clear reporting and records
• Gain visibility into Beacon and 340B pricing data
• Identify applicable Part D claims
Less manual tracking. More visibility into where every claim stands.
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Manufacturer Reporting
Manufacturer requirements continue to evolve. ClaimsConnect helps your team generate, validate, and submit required claims data without building and tracking every file manually.
With ClaimsConnect, you can:
• Automate claims-level report generation
• Support manufacturer-specific reporting requirements
• Validate data before submission
• Automate submission workflows
• Track reporting activity
• Maintain centralized submission records
• Reduce manual uploads and repetitive processes
Spend less time preparing files and more time managing what matters.
State Medicaid
State Medicaid requirements can vary, creating another layer of reporting and oversight for 340B teams.
ClaimsConnect helps centralize and automate these workflows so your team can manage required reporting while supporting duplicate-discount prevention.
With ClaimsConnect, you can:
• Manage state-specific reporting requirements
• Automate claims-level file generation
• Apply configurable reporting rules
• Reduce manual file preparation
• Maintain centralized reporting records
• Support duplicate-discount prevention efforts
A more consistent way to manage requirements that aren't always consistent.
Automation is only part of the equation.
ClaimsConnect gives your team visibility into the work happening after data leaves your hands, helping you understand what's been submitted, what needs attention, and what happened next.
Submit. Track. Resolve. Reconcile. Report.
All through one connected solution.
340B isn't standing still, and your technology shouldn't either.
ClaimsConnect gives covered entities a flexible way to manage today's MFP + Rebate, State Medicaid, and Manufacturer Reporting workflows while providing the infrastructure to adapt as requirements continue to evolve.
Instead of building another manual process every time something changes, your team has a connected solution built to change with you.