Contracting and Reimbursement

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How We Can Help

Our contracting and reimbursement solutions help payers, providers and pharma companies simplify the billing process. We help you improve operations while ensuring accurate coding, rebates and reimbursement.

Simplify Pricing and Coding

Simplify complex claims by ensuring accurate coding for medical benefit drugs and eliminating billing confusion.

Effectively Manage and Share Formulary Changes

We help payers publish and manage formulary data, drug lists and fee schedules to drive preferred therapy utilization.

Evaluate Specialty Pharmacy Performance

Deliver superior specialty pharmacy service with competitor benchmarking and help finding patient assistance programs.

Validate Formulary and Medical Benefit Contracts

Pharma companies can validate formulary and medical benefit contracts at scale with automated tool to reduce rebate leakage.