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PharmaForce Referral Claim Capture: Unlocking Additional 340B Savings

PharmaForce Referral Claim Capture: Unlocking Additional 340B Savings

PharmaForce’s 340B Referral Claim Capture Solution is designed to help covered entities and pharmacies maximize 340B savings by ensuring every eligible referral prescription is captured compliantly. Many healthcare organizations lose potential 340B revenue when prescriptions are written by providers outside their system. PharmaForce’s technology identifies these referral opportunities automatically and validates them through a secure, rules-based process that aligns with HRSA guidelines. This solution ensures that pharmacies don’t miss out on legitimate claims while maintaining strict compliance and transparency throughout the workflow.

The PharmaForce 340B Referral Claim Service follows a structured, five-step approach:

  1. Review and enhance 340B policy and procedures for referral integration.
  2. Identify referral capture opportunities using PharmaForce’s proprietary software.
  3. Validate captured opportunities through data review and documentation.
  4. Complete compliance with automated delivery of gap documents for EMR inclusion.
  5. Capture and realize the 340B referral claim revenue—often yielding an average of $25,000 in savings per pharmacy per month.

The 340B Referral Capture Service combines automation with expert oversight, gathering documentation, and closing compliance gaps without requiring direct EMR access. 

PharmaForce

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With an unsurpassed reputation in delivering 340B administration, PharmaForce is the only Pharmacy Solutions Provider composed entirely of experienced industry professionals, developing uniquely flexible technology solutions for pharmacies, providers and patients demanding greater transparency and lower costs.

Lexi Cianfarani

Posted by: Lexi Cianfarani

Lexi is a Pharmacy500 Market Analyst on RXinsider’s Intelligence team. She’s passionate about using data analytics and research to uncover trends, products, and news that help inform and educate the pharmacy market.

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