Claims from Fallout Report
Advanced Claims Capture can increase your 340B savings significantly by uncovering and appropriately resolving fallout claims.
Together with AuthorityRx, our Advanced Claims Capture service can significantly increase 340B savings through enhanced referral claims capture and by uncovering and resolving those fallout claims that can be subsequently confirmed as 340B eligible.
Advanced Claims Capture is designed with compliance in the forefront. As part of an annual independent audit, we review your program and work to appropriately capture additional savings in compliance with your 340B program.
Advanced Claims Capture can increase savings by uncovering and resolving fallout claims.
Speed to implementation is quick. No EHR access, no cumbersome, costly, resource intensive integrations needed. We begin processing claims within a week or two — not months, enabling clients to realize savings quickly.
SunRx and ARx are SOC 2 certified. The SOC 2 (Type 1 and 2) audit is a rigorous process to ensure high data security levels. Patient and switch data entrusted to ARx is housed in a secure environment with high data processing standards.
Stay compliant, save time, money, and resources by utilizing our no-cost annual 340B audit.
We keep you up to date with customized program recommendations to your policies and procedures which may eliminate the need for extra operational resources.
Advanced Claims Capture can increase your 340B savings significantly by uncovering and appropriately resolving fallout claims.
SunRx can help you optimize opportunities in 340B specialty pharmacy through the following:
With our experience in pharmacy data analysis and pharmacy contracting, we'll guide you through the contract pharmacy process, delivering a specialty pharmacy network that optimizes your 340B savings.
Our unique operational capabilities can be customized to support a variety of pharmacy and wholesaler requirements in navigating specialty and 340B. With unrivaled expertise in specialty contract pharmacy, we understand the important drug-specific nuances for specialty expansion within 340B.
We understand each Covered Entity unique challenges and can help manage compliance, referral capture and operational parameters to create a custom fit for specialty inclusion in your 340B program.
Through a drug-by-drug strategy, we can work to expand savings in conformance with 340B regulations with a toolkit designed to help you gain access to specialty medications for your 340B program.
As an experienced and transparent resource, we support you in building a successful 340B program. We tailor our approach to each Covered Entity type’s unique needs with dedicated support to help optimize your 340B program and answer any questions you may have.
Through the SunRx Split Billing platform, we can support your needs for specialty therapies within the four walls of your institution.
Learn more about our complete 340B solution. Ready for a change?
Stay compliant in your program and save time, money and resources by utilizing our no-cost annual 340B audit.
Keep up to date on processes which may help eliminate the need for extra operational resources. We offer customized program recommendations to your Policies & Procedures.
Every day, the primary care providers in your clinics may refer their patients to specialists where these patients usually get at least one prescription. Examples of these prescriptions could be Humira®, Enbrel®, Otezla®, Harvoni®, Sovaldi®, and Skyrisi® to name a few. Don’t miss out on compliantly capturing the 340B savings from these prescriptions.
Since the Specialists that patients are referred to may not be part of your staff or clinic, the prescriptions usually are not routinely captured. The SunRx system has this functionality built in, and in coordination with your policies and procedures enables you to capture prescriptions from these referral visits to potentially generate significantly more 340B savings.
How many referrals do your providers send annually?
Learn more about our complete 340B solution. Ready for a change?
Every day, the primary care providers in your clinics may refer their patients to specialists where these patients usually get at least one prescription. Examples of these prescriptions could be Humira®, Enbrel®, Otezla®, Harvoni®, Sovaldi®, and Skyrisi® to name a few. Don’t miss out on compliantly capturing the 340B savings from these prescriptions.
Since the Specialists that patients are referred to may not be part of your staff or clinic, the prescriptions usually are not routinely captured. The SunRx system has this functionality built in, and in coordination with your policies and procedures enables you to capture prescriptions from these referral visits to potentially generate significantly more 340B savings.
How many referrals do your providers send annually?