SPONSORED CONTENT
Running a 340B pharmacy is a complicated business, especially considering the varying requirements from payers that can wreak havoc on your bottom line. That’s why Sentry continually works to develop new tools and services to help you stay on top of things and keep your reimbursements moving.
Claims Manager Plus (CMP) is our solution; an automated software solution that helps users adhere to payer requirements, minimize denials, and speed up processing pharmacy claims by almost any payer, or for carving in or out 340B. It’s also indispensable in helping manage complex, government-mandated reporting requirements.
Claims Manager Plus helps you correct errors on claims and adhere to other requirements by flagging items such as:
- Missing modifiers and prices
- Purchase validation of NDCs billed
- Unspecified destination payer codes
- Incorrect NDC codes
- Drug quantity and unit of measure validation
- NDCs not matched to HCPCS codes
- Crossover modifiers between payers
The tool automatically modifies claims based on the configurations you establish. It flags errors and rejections and can
…