Claim Lookup
Search and track the status of your rebate claims
Showing 1,247 claims
423 Pending
412 Processing
387 Approved
25 Denied
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| Claim ID | Submit Date | Product | Customer | Claim Amount | Approved | Status | Payment Date | Actions |
|---|---|---|---|---|---|---|---|---|
| CLM-2024-089547 | Nov 20, 2024 |
Lisinopril 10mg
NDC: 00071-0155-23
|
Regional Health System | $12,450.00 | $12,450.00 | Paid | Nov 25, 2024 |
|
| CLM-2024-089546 | Nov 20, 2024 |
Metformin 500mg
NDC: 00378-0228-01
|
Metro Pharmacy Chain | $8,920.00 | $8,920.00 | Approved | Pending |
|
| CLM-2024-089545 | Nov 19, 2024 |
Atorvastatin 20mg
NDC: 00591-3775-01
|
Community Hospital | $15,680.00 | - | In Review | - |
|
| CLM-2024-089544 | Nov 19, 2024 |
Omeprazole 40mg
NDC: 00186-5040-31
|
Specialty Care Partners | $6,540.00 | $4,905.00 | Partial | Pending |
|
| CLM-2024-089543 | Nov 18, 2024 |
Amlodipine 5mg
NDC: 00069-1540-30
|
Rural Health Network | $3,280.00 | $0.00 | Denied | - |
|
| CLM-2024-089542 | Nov 18, 2024 |
Gabapentin 300mg
NDC: 00228-2666-11
|
MedCity Pharmacy Chain | $7,125.00 | - | Pending | - |
|
Showing 1-6 of 1,247 claims
...
CLM-2024-089543
Submitted Nov 18, 2024
Denied
Claim Denied - Eligibility Issue
Customer not eligible for this contract tier during the claim period. Please review eligibility requirements or file a dispute.
Claim Information
Product
Amlodipine 5mg
NDC: 00069-1540-30
Customer
Rural Health Network
DEA: EF5678901
Contract
GPO Master Agreement
CTR-2024-0142
Claim Period
Oct 1 - Oct 31, 2024
Financial Summary
Quantity
1,640 units
Unit Price
$2.00
Rebate Rate
12.5%
Claimed Amount
$3,280.00
Approved Amount
$0.00
Processing History
Claim Denied
Nov 22, 2024 at 3:45 PM
Eligibility verification failed. Customer not on approved member list for claim period.
Under Review
Nov 20, 2024 at 9:15 AM
Claim assigned for manual review - eligibility verification.
Claim Received
Nov 18, 2024 at 2:30 PM
Claim submitted and acknowledged.