Payer Management

Accruals Management

Accruals Management is an end-to-end Gross-to-Net solution that seamlessly extracts rebate and chargeback lines from our Revenue Cloud and is loaded into the Accruals application where forecasting and reconciliation modules quickly and accurately calculate Net Sales. Accruals eliminates the need for dozens of spreadsheets and maintains an audit log for compliance. It delivers significant productivity improvements by eliminating manual operations and promotes collaboration by which multiple users may use the solution. It is flexible in its ability to roll up discounts by NDC codes, therapeutic areas, contract groups, or any such hierarchy. Best of all, it is a hosted solution, thereby reducing the total cost of ownership and can be up and running very quickly.

Validata Script Management

Validata Script Management is a robust and configurable tool that acts as the first step within the Payer Rebate process. Payer submitted utilization data is imported into Validata Script Management and user-configurable validations and thresholds are executed against the utilization data to weed out invalid Rx transactions, thus mitigating revenue leakage via inappropriate utilization lines submitted by the Payer. The validation results can be stewarded and, in some cases, overidden as desired by business and contractual requirements. Acceptable utilization is published for downstream rebate processing and, error reporting, including industry standard reconciliation file generation, is included in the Validata Script Management tool.

Payer Intelligence

Payer Intelligence provides self-service reporting capabilities for all aspects of Commercial, Medicare Part D, and TriCare payer contracts within the Payer Management rebates area. Three primary areas of contracts detail, utilization data, and rebate results provide dimensional and metric structure to the reporting that can be performed within Payer Intelligence. Users, based on their business needs and goals, can schedule ad-hoc reports, as well as create visual dashboards within Payer Intelligence that can be regularly refreshed to gain desired and timely insights into the robust contract, utilization, and rebates data within Payer Management.

Validata Intelligence

Validata Intelligence provides complete self-service reporting capabilities on utilization transaction details, transaction items, transaction duplicates, reversals, Coverage Gap details, history, and other related details. The integrated construct of Validata Intelligence structures the data with associated dimensional categories, including contract, product, time period, trading partner, etc. Users, based on their business needs and goals, can schedule ad-hoc reports, as well as create visual dashboards within Validata Intelligence that can be regularly refreshed to gain desired and timely insights into the robust utilization data within Validata.