Automated solution captures claims and savings that are often missed
Today, SUNRx, a leading healthcare technology company and 340B administrator, announced that it has acquired AuthorityRx. The acquisition complements SUNRx’s current 340B offerings with the addition of auditing and enhanced compliance services as well as two cloud-based applications.
The automated Advanced Claims Capture (ACC) product supports clients by improving savings through the capture of outside referral providers, and the manufacturer support application restores and protects savings associated with recent manufacturer-imposed restrictions requiring claims uploads.
“Identifying referral claims and other missed claims due to manufacturer restrictions has in the past been a complex, often manual process, but missing these savings can hinder 340B entities’ ability to fulfill their mission,” said Mary Van Hoozer, General Manager at SUNRx. “The acquisition of AuthorityRx will allow SUNRx to offer an enhanced, proprietary, and compliant way to capture additional claims and provide the associated financial benefits for covered entities.”
As the industry’s leading compliance and auditing service, ACC offers an ease-of-use referral claims capture solution that can significantly increase 340B savings by uncovering and resolving fallout claims. In fact, current users of ACC have, on average, nearly doubled capture rates and revenue. ACC is Third-Party Administrator (TPA)-agnostic and can be seamlessly integrated for any covered entity, regardless of the TPA they use.
ACC’s innovative automation streamlines processes while compliantly extending eligibility to outside providers using an approach that has been validated in multiple HRSA audits. This SOC-2 certified solution also delivers a level of visibility and transparency that other programs cannot.
“For many covered entities, the 340B program is a lifeline that allows them to keep their doors open,” said Aaron Lott, PharmD, founder and president of AuthorityRx. “By combining the technology and expertise of our companies, we will give entities greater resources to serve patients and communities.”
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