In 1995, Data Niche applied its expertise in Medicaid rebate validation to the Managed Care arena. Currently, Data Niche is the leading provider of Managed Care Rebate Validation Solutions.
Millions of prescriptions received each month/quarter from manufacturers for Pharmacy Benefit Managers (PBMs) and Managed Care Organizations (MCOs) are standardized and made available online through our Managed Care Rebate Validation product, MCRView.
MCRView helps you validate rebate claims promptly, locate Outliers and address rebate disputes quickly. Thus, eliminating backlogs and making a costly and time-consuming process more efficient. Most importantly, processing costs are reduced and contract compliance is enhanced.
- Secure online access for multiple users
- Protected by Secure Socket Layer (SSL)
- User-friendly web-based application
- Unlimited online training and support
- Validate all MCO submitted Rx-level data
- Customize Outlier criteria
- Track pharmacy dispensing types such as LTC, mail order, retail, etc., that may not be eligible for rebate
- Review product penetration at the plan, formulary and pharmacy level
- Customize data exports
- Exclude invalid and expired plans
- Create cross-reference files for quick and easy plan identification
- Provide supporting details for claim disputes and resolution