Automate MFP reconciliation and gain claim-level visibility
Plenful's MFP Intelligence solution automates MFP reconciliation. Plenful identifies claim-level discrepancies, proactively tracks duplicate discounts, and improves visibility into expected versus received MFP refunds, so pharmacy and finance teams can confidently manage revenue timing and cash flow.
.png){kind=logo}
MFP creates new operational complexity for pharmacy, revenue cycle, and finance teams.
Up to 20% of MFP Refunds Are Missing
Manufacturers are relying on imperfect signals to determine 340B eligibility. When claims are misclassified as 340B, and 340B represents the more favorable price, MFP refunds are not issued. This leaves pharmacy teams responsible for identifying and recovering missing refunds.
MFP–340B Duplication
De-duplication occurs when MFP and 340B programs apply to the same claim, resulting in manufacturer credits. This makes revenue timing and financial attribution harder to track, creating added complexity for pharmacy and finance teams.
Capacity Challenges
Each MFP-eligible Part D claim should be reviewed for refund accuracy. As volume grows, claim-by-claim reconciliation quickly outpaces manual team capacity without proper tooling.
Automate MFP reconciliation workflows to reduce administrative burden and improve financial oversight.
Plenful's MFP Intelligence solution acts as the command center, bringing together MTF data, 340B eligibility data from pharmacies, and financial workflow into a single platform. Instead of chasing down discrepancies, teams can proactively identify issues, monitor key metrics, and ensure every dollar is accounted for.
Automated Reconciliation Workflows
Eliminate manual processes with automated reconciliation workflow that remove the admin burden from already lean pharmacy teams.
Claim-level Financial Visibility
Easily track expected vs. received MFP refunds, MFP refunds not equal to the Standard Default Refund Amount (SDRA), and other key metrics, on a claim-by-claim basis with precision.
Confident MFP Oversight
MFP claim and refund data is centralized within Executive 360 Dashboards with charts and summary views that foster cross-functional alignment.
Plenful operationalizes the entire MFP reconciliation process from data ingestion and analysis, to surface key financial insights.
Unify Disparate Data to Flag Discrepancies
Plenful sources 835 remittance data from the MTF as a designated Third-party Support Entity (TPSE), and separately ingests claim-level information (including 340B status) via pharmacy management systems and TPAs. Plenful's platform runs an automated reconciliation analysis across datasets to identify missing refunds or duplication scenarios.
Take Action at the Claim Level
Plenful organizes claim-level tasks into a streamlined workqueue. Easily filter claims to analyze outstanding MFP refunds denied for 340B, duplicate discounts, MFP refunds not equal to SDRA, pending 835s, and more. Empower your team to maximize their time and impact.
Reconciliation Reporting by Drug
Closely examine MFP reconciliation data by drug. Follow the complete path by tracking MFP refunds paid by drug, outstanding refunds, and MFP refunds not equal to SDRA.
Trusted by 95+ enterprise healthcare organizations.
"With Plenful, we now have a centralized command center that consolidates claims data across our pharmacy platforms, flags discrepancies, and helps us track whether expected refunds are actually being received. That visibility allows us to protect the financial integrity of our 340B program while significantly reducing the manual work required to manage these new reimbursement workflows."
Alex Mansour
