Chargeback, Reversal, & 340B Validation


Audit chargeback and reversal claims to prevent potential revenue leakage

ValueTrak’s Chargeback & Reversal Validation module identifies potential revenue leakage from commercial and 340B contracts through automated reconciliation of chargebacks and reversals (EDI 844) against sales and returns data (EDI 867). The module complements any Contract Management System by highlighting discrepancies between the two data sets.

For chargeback analysis without the revenue leakage component, check out our Contract Analytics module.


If Wholesale Acquisition Cost (WAC) was
$100 and contract price was $80:

(Click image to enlarge)

Determine Chargeback & Reversal Validity

Audit chargebacks and recover revenue lost in the reversal process. Reconcile 867 sales/returns data against 844/849 chargebacks and reversals to validate payments and minimize revenue leakage.

Research Activity at 340B Entities and Pharmacies

Identify 340B transactions to pinpoint and monitor suspicious activity at entities who may not be complying with their 340B eligibility.

KEY BUSINESS BENEFITS

revenue
Minimize potential leakage and unwarranted overpayments due to chargeback inaccuracies

administrative
Identify candidate overpayments possessing the greatest revenue opportunities

inaccuracies
Pinpoint chargeback/reversal issues quickly without expensive tactical administrative efforts

revenue
Reduce manual processes with automated management of 340B program participants

inaccuracies
Reconcile chargebacks with associated sales & returns to determine validity

administrative
Reinforce the investment in your Contract Management System by ensuring chargeback and reversal validity