Leverage referral claims to find untapped benefit
Referral prescriptions can play an important role in your 340B program’s ability to stretch scarce federal resources — but they’re often excluded due to the complexities of managing referral provider relationships, leaving valuable 340B benefit on the table.
Our Referral Verification System™ (RVS™) leverages your existing Sentrex® platform to access referrals initially deemed ineligible, helping you reclaim eligible prescriptions and capture more 340B opportunity. With no upfront fees, IT lift or new implementations needed, we offer two ways to manage the workflow:
Customer managed: You review claims in the RVS queue at your convenience during the reprocessing window to confirm the provider-referral relationship.
Senturion-managed: Our expert Senturion™ Professional Services team does the legwork and is specifically tasked with helping ensure proper documentation all the way through the patient journey. The team also looks at your P&Ps, offers targeting strategies and helps you establish KPIs to help you optimize your 340B program performance.
Read how two health systems are benefiting with RVS
Did you know that 1/3 of doctor visits per year generate a referral? This statistic represents a significant opportunity when considering the average cost per claim is $566 for retail and $6,565 for specialty drugs.
The good news is that reclaiming 340B-eligible benefit is easy, compliant and safe. Real hospitals are benefiting from capturing referrals and learning that regular monitoring of referral claims helps ensure better visibility into comprehensive patient care.
Interested in knowing more? Complete the form below to receive two case studies about RVS!