Rebate Claims Validation demo
Each payer rebate invoice line sits beside the contract term, the formulary position held that quarter and the claims behind it — recalculated, with every variance in red and its clause. 1:18
What the demo shows
A rebate operations solution for contract teams that checks invoice lines against contracts.
Agents read every invoice and its files, keep the contract terms in force, test the formulary position each plan held month by month, recalculate every invoice line and find 340B, Medicaid, duplicate and eligibility hits. The rebate lead decides each exception; the letter and the payment packet follow, with e-signature and an audit trail.
Transcript
- Rebate Claims Validation checks each payer rebate invoice line against the contract for rebate teams.
- Payers often bill the preferred rate after the drug lost its preferred tier.
- Harbor Union's Part D invoice arrived today — 13 lines for $0.3 million.
- One-click sets each line beside its contract term, the tier held, and its claims.
- Three Veltrimab lines turn red.
- Those plans moved it to Tier 4 on April 1st.
- The contract pays 25% only for a full quarter on Tier 3, otherwise 8.
- $470,000 overbilled, proven by the plan's own formulary row.
- PREA opens the exception and disputes it, the letter and payment follow.
- Every line tested, every dispute backed by its clause.
- Built on Botminds: agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.