Our Clearinghouse steps in to ensure consistent and accurate identification for MFP claims that have 340B applied price. Let our platform do the work.
Our platform identifies MFP claims where 340B Claims price has been applied. The Clearinghouse then calculates the correct MFP reimbursement amount, saving you time, and effort spent managing double payments.
The Clearinghouse easily and simply creates invoices that are agreeable to your and CMS' systems. The platform then creates and shares the claims level payment details with your revenue management system and CMS’ MTF DM.
Review disputes and supporting documentation, communicate, and resolve dispute all in one platform. CMS can also access the Clearinghouse to resolve disputes submitted by Dispensing Entities to CMS.
Tungsten+PLUS™ provides a single pane of glass view to let you review the results of claims processing activities, check invoice and payment activities and approve claims to be released for payment. Track the progress and outcome of pharmacy disputes all in one place.
PCAs, major 340B gateways, CEs and major hospital systems are actively participating. Manufacturers are already leveraging the system, and its seamless integration into their operations is driving a strong upward trajectory in participation.
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