Claim Capture by Provider Type: A Compliance and Maximization Guide

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Understanding Provider Panels

Provider panels are lists used by 340B Third-Party Administrators (TPAs) to determine which providers’ claims are 340B eligible.  At a minimum, a provider panel should include:

  • Provider’s eligible
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Expert Tip From AuthorityRx

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TIP: Build your 340B Rolodex to make your 340B experience easier to navigate.


Throughout any 340B stakeholder’s

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340B INDUSTRY LEADER SPOTLIGHT

Kimberly Lott, Vice President of Patient Care Coordination, AuthorityRx

Kimberly Lott

Q: Where did you grow up?

I grew up in a small rural town called Meade, Kansas. For the last 20 years, I have called the Kansas City area home.

Q: Where did you go to college?

I received my RN degree from Maric College of Nursing in San Diego CA.

Q: What are your favorites?

Food:

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Guidance on 340B ESP Use and Management

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Since 2020, select drug manufacturers have begun deploying restrictions or limitations on the sale of their products through the 340B program. This has proven to be a marketplace disruptor that has shifted the landscape of the 340B contract pharmacy program, as covered

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Unlocking Greater 340B Savings

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The 340B program serves as a lifeline for many communities, allowing them to provide critical services to vulnerable, underserved patients. But unfortunately, the industry faces a spectrum of challenges, from mounting drug manufacturer restrictions to incomplete referral claims capture, which hinder

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340B INDUSTRY LEADER SPOTLIGHT

Lee Harris, Principal, Sales and Strategic Relations, SunRx

Lee Harris, SUNRx 340B Industry Leader
Lee Harris

Q: Where did you grow up?

I grew up in San Antonio and Victoria, TX and currently live in the Denver, CO area.

Q: Where did you go to college/graduate school?

Ole Miss (University of Mississippi)

Q: What are your favorites?

Food: Seafood

Movie: The Godfather and anything with Buster Keaton

Musicians: Linda Ronstadt, Steely Dan,

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Expert Tip From SunRx

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TIP: Double check your TPA’s 340B capture settings to ensure they match your manufacturer restriction designations.


If

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340B INDUSTRY LEADER SPOTLIGHT

Mary Van Hoozer, Vice President of Sales & Account Management, SunRx

Mary Van Hoozer

Q: Where did you grow up?

Arlington Heights, IL, which is a northwest suburb of Chicago (Go Cubs!)

Q: Where did you go to college/graduate school?

I received both my bachelor’s and my master’s degrees from the University of Illinois, Urbana-Champaign.

Q: Tell us about your favorites.

Food: Pizza—pretty much any kind! (a Chicago staple)

Movie:

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