How It Works

From Claim to Clarity

See how VativoRx identifies, validates, and manages rebate opportunities through a structured process aligned to real-world healthcare workflows.

Schedule a Discovery Call
01
Data Review
02
Validation
03
Submission
04
Reporting

Why It Gets Missed

Rebate activity doesn't live in one place. Pharmacy and medical claims run through different vendors, billing systems, and reporting workflows — each with their own formats, eligibility rules, and timelines.

Without a process that cuts across all of it, eligible claims get missed, validation is inconsistent, and finance teams are left trying to explain numbers they can't fully trace.

Designed to Fit Your Workflow

No rip-and-replace. No new infrastructure. The VativoRx process layers onto what you already have — defined data inputs, clear timelines, and no disruption to the vendor relationships already in place.

How the Process Flows

01

Data Review

No PHI No EMR access ~25 data points

Non-PHI claim data is reviewed to identify potential rebate eligibility across pharmacy and medical claims.

Claim Review
#A-00471
Eligible
#B-00382
Eligible
#C-00219
Review
#D-00117
Excluded
02

Validation

Claims are evaluated against manufacturer, CMS, and program requirements using a defined validation framework.

Validation Criteria
CMS Part B alignment
Manufacturer program criteria
340B exclusion review
Traceability — decision logged
Audit-ready output confirmed
03

Submission

Eligible claims are processed through manufacturer-aligned channels with structured handling.

Report Layers
Finance Package Finance
Compliance Audit Trail Compliance
Operational Summary Operations
04

Reporting

Structured reporting provides a clearer view of rebate activity, allowing teams to review, explain, and manage performance over time.

Ongoing Cycle
Claim cycle review
Structured intake · consistent logic applied
Compliance check
Decisions traceable · audit trail updated
Reporting delivered
Finance, compliance, and ops — updated

Understand the Process Without the Complexity

A 15-minute conversation is usually enough to understand whether your claim environment is a fit and what a Phase 1 review would look like.