Prevention Based Platform

Accurate front-end claim identification significantly reduces downstream burden on manufacturers. OptivanceX minimizes disputes through advanced multi-source data algorithms, configurable manufacturer policies, and direct relationships with Covered Entities (CEs). Manufacturers can define their preferred level of involvement in dispute resolution, enabling greater control and efficiency. By reducing incorrectly processed claims, the platform allows manufacturers to focus on broader commercial strategies and patient access objectives.

OptivanceX provides a robust, platform to support organizational readiness for 340B Rebate Model 2.0. Built in alignment with Centers for Medicare & Medicaid Services(CMS) and Health Resources and Services Administration (HRSA) requirements, the platform is designed for regulatory compliance and can be deployed within a 90-day implementation window once Model 2.0 is finalized.

Its end-to-end rebate administration capabilities span the full lifecycle—enabling streamlined claims submission, precise eligibility validation, accurate payment calculation, and integrated, audit-ready dispute resolution—delivering a scalable and compliant infrastructure for evolving 340B models.

OptivanceX is a neutral, enterprise-grade platform that delivers a single, integrated view of financial exposure, transparent supporting data, and end-to-end dispute management. Designed for seamless compatibility with existing systems, it integrates easily into current IT environments—reducing operational complexity while streamlining rebate administration across the entire workflow.