At these unit costs the fill is the event
A limited-distribution therapy is usually handed over rather than administered, so the fill is the event that matters. One pricing error, one lapsed authorization or one missing traceability record is material on its own. Attergo holds all three, and where a therapy is administered rather than dispensed, infusion records as its own billing service line.
Three controls have to hold at once, and they live in three systems
What you actually paid for the therapy, whether the authorization gating it is still valid for this cycle, and whether the chain of custody can be produced on demand are three facts that must be true at the same time, per patient, per cycle. Held by three systems that never compare notes, the first occasion anybody checks all three together is the occasion on which one of them has already failed.
The mechanism behind it.
Priced against what you actually paid, with the basis stated
Your own invoice where there is one, a comparable invoice where there is not, a public benchmark last. Each carries its confidence and a note saying which was used, so a price never arrives without its basis.
A currency floor and a percentage floor, configured separately
Both are set per facility and per payer. A percentage floor is sensible on a cheap generic and close to meaningless on a high-cost therapy, which is where the exposure sits.
Authorizations tracked to their expiry
A case carries its request kind, its requirements and an expiry with a renewal state, so the next cycle is prepared before the patient arrives rather than discovered at the counter on the day.
Traceability applied whole, or held
Supply-chain documents are read from the standard formats into one shape, and a document either lands completely or is held with the reason on it. A partly applied history looks complete and has a hole in it.
What this runs on.
Margin
Know the true economics of every fill before it leaves the counter, and never dispense at an unknown or negative margin again.
Read more →Authorizations
Submit, track and renew prior authorizations without the fax machine, with the clinical attachments already on file.
Read more →Audit
Answer any audit letter in minutes, because the evidence was assembled as the work happened.
Read more →Inventory
Buy the right quantity at the right price, find the capital sitting on your shelves, and stay DSCSA-verifiable.
Read more →Ask what a service costs you to deliver.
A read-only connection and credentials you can revoke. We come back with what the last month of clinical work produced, using your own numbers.