New Rebate Model Goes Live Soon
Get Ready for Rebates: Take the Headache Out of 340B Claims
RxFiler handles the heavy lifting for your claims, helping TPAs and Covered Entities submit everything on time and error-free. We make sure you stay compliant with the latest HRSA rules without the stress.
Challenges Faced by TPAs and Covered Entities
The Deadline Crunch
Relying on manual work makes it incredibly hard to keep the paper trail you need to pass HRSA audit
Messy Data
Every platform speaks a different language. Trying to juggle different formats and rules usually leads to broken data and frustration
Manual Bottlenecks
Different teams manually format, validate, and submit files that should be automated through APIs to avoid errors.
Duplicate Discount Risk
Without automated deduplication logic, a single tracking error triggers compliance violations and financial penalties.
Dynamic Requirements
Platform APIs and submission specifications are updated frequently, which could break your existing workflows.
Limited Resources
Custom integrations require dedicated developers, and hiring an entire engineering team can be costly.
Key Features
Why RxFiler is the Right Platform to Drive High Savings
Take advantage of our beacon-ready 340B claim submission utility that automates your claims end-to-end.
Guaranteed Readiness
Be fully operational when Beacon launches without any integration delays.
- Pre-validated SDK implementation
- Pre-validated SDK implementation
- Zero disruption to current workflows
Fully SDK-Compliant
Wipe out rejection cycles and get first-time acceptance across all platforms.
- Automated claim validation & normalization
- Schema compliance built in
- Pre-claim formatting for each platform
What’s Working vs What’s Not
Turn operational noise into a simple, weekly view your team can act on.
- Top pass drivers (repeat successes)
- Top failure drivers (repeat breaks)
- Trend snapshots (improving vs slipping)
Faster Submissions & Fewer Rejections
Get claims processed and accepted on the first go without waiting for validation feedback.
- Real-time validation before submission
- Optimized throughput for high-volume submissions
- Track claim acceptance status
Revenue Risk Visibility
 See where money is leaking before it becomes a missed rebate.
- Pricing leakage signals (loose / inconsistent)
- Designation integrity checks (wrong flags)
- Estimated impact by file / period
Audit-Ready Logs
Protect yourself during compliance reviews by documenting every transaction in detail.
- Immutable audit trails
- Timestamped transaction records
- Compliance-ready reporting
System Architecture
How RxFiler Works?
We have designed the RxFiler architecture to help you run claims processing smoothly, even during peak loads.
Data Ingestion
Connect through API, drop files via SFTP, or use EDI. Whatever setup you have, we work with it.
Processing Engine
Every claim gets validated against the current platform specs. We catch formatting issues, enrich missing fields, and fix errors before they cause rejections.
Compliance Layer
We verify 340B eligibility on every claim and flag potential duplicate discounts. Full audit logs and compliance reports are generated automatically.
Submission
Claims route to Beacon, ESP, or your payers based on your configuration. Failed submissions retry automatically, and you get real-time status updates throughout.
Integrations
Connect RxFiler With Your Ecosystem
Take advantage of our beacon-ready 340B claim submission utility that automates your claims end-to-end.
SFTP Secured
Enterprise-grade secure file transfer with automated processing.
- Secure file transfer protocol
- Automated file ingestion
- Encryption at rest and in transit
- Scheduled batch processing
RESTful API
Modern, well-documented API with comprehensive endpoints for all operations.
- OpenAPI 3.0 specification
- Interactive documentation
- SDK libraries available
- Sandbox environment
Webhooks
Real-time notifications keep your systems in sync with instant updates.
- Event-driven architecture
- Configurable endpoints
- Retry mechanisms
- Signature verification
Native Support for Major Platforms
Integrate RxFiler with your tools or systems you already use without any implementation headache.
BEACON
Full protocol integration with Beacon’s 340B rebate platform
- Full protocol integration
- Automated claim file formatting
- Response file parsing & reconciliation
- Intelligent error handling
- Secure automated SFTP transmission
ESP
ESP platform connectivity for manufacturer claim submissions
- Platform connectivity
- Pre-submission validation
- Token management
- Schema validation & compliance
Truzo
Full Truzo platform connectivity
- Full Truzo connectivity
- Automated secure token management
Who We Serve
Built for Organizations That Demand Excellence
RxFiler is designed for healthcare organizations that need reliable, compliant, and efficient 340B claim processing.
TPAs Managing Multiple Covered Entities
Streamline operations across your entire CE portfolio with centralized claim management.
Hospitals and Health Systems
Need compliance and rebate automation to maximize 340B savings.
CEs Submitting In-House Claims
Take control of your claim submissions without relying on external parties.
Small or Mid-Size Teams
Looking to scale without adding staff. Do more with your existing resources.
LIMITeD time OFFER
Why Early Adoption Matters
Don’t wait until the deadline. Get ahead of the curve and secure your compliance today.
Get priority onboarding and early-bird discounts
Test your submissions
Avoid last-minute compliance surprises
Lessen audit and financial risk
Deadline Approaching
To Be Announced by HRSA
Organizations that adopt early will have a significant advantage in compliance readiness and cost savings.
FAQ
Key answers for 340B Claims Processing
Get answers to common questions about RxFiler and the upcoming 340B changes.
What is changing in the 340B program on 1/1/2026?
With the launch of Beacon, TPAs and Covered Entities must submit additional claim-level data using the updated Beacon SDK to maintain eligibility for 340B pricing.
Why does this change matter for TPAs and CEs?
These requirements significantly increase the workload on teams. You must ensure higher-quality claim data, timely submissions, and consistent validation across pharmacies and providers. Failure to keep up may lead to claim rejections, delayed rebates, or loss of 340B savings.
What happens if we don't comply with Beacon/ESP requirements?
Non-compliance can result in ESP/Beacon claim denials, manufacturer lockouts, high audit exposure, loss of rebate eligibility, and operational backlogs. This directly diminishes 340B revenue for your CE and creates risk for your TPA.
Do TPAs need to upgrade their technology?
Yes. Every TPA must integrate with the new Beacon SDK to submit compliant claims. Legacy systems or partially manual workflows will not meet the new real-time requirements.
What challenges will teams face with this upgrade?
Most organizations report short timelines for integration, confusion around data formats and payload rules, lack of engineering resources, manual submissions bottlenecks, and pressure to ensure zero duplicate discounts.
How can automation help with Beacon/ESP submissions?
Automation ensures correct data formatting every time, faster claim submission with fewer errors, real-time alerts for missing data, continuous compliance with manufacturer rules, and low operational workload.
What does your automated claim-submission utility do?
Our 340B rebate claim submission utility provides full Beacon SDK integration, automated claim generation & submission, real-time validation checks, error reduction with faster throughput, audit-ready reporting, and early setup to ensure a painless go-live before 1/1/26.
How fast can we implement it?
We can implement our utility within a few days, as we’ve prebuilt all Beacon workflows, so you only need to connect your data streams.
Is there a benefit to onboarding early?
Yes. Early adopters can test submissions before the deadline, avoid last-minute compliance pressure, minimize the risk of claim rejections on go-live day, and qualify for early-bird pricing.
Who should consider adopting this utility?
This is ideal for TPAs preparing to support every CE they manage, Covered Entities managing in-house submissions, IT teams that don’t want to rebuild SDK functionality from scratch, and organizations with multiple contract pharmacies.
Will this help reduce audit risk?
Absolutely. Automated submission ensures accurate NPI/NDC mapping, clean data (address, prescriber, refill logic), traceable logs, and manufacturer-ready claim formats.
Can small or mid-size TPAs use it?
Yes, it’s built to support any scale—small TPAs, mid-size, and national players.
How can we get started?
Just schedule a quick demo to see how the workflow validates, builds, and submits Beacon-ready claims end-to-end.
From the blog
Read Recent Articles on 340B Healthcare
Don’t wait until the deadline. Get ahead of the curve and secure your compliance today.
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Testimonials
See What Our Client Says About RX Filer
RxFiler is designed for healthcare organizations that need reliable, compliant, and efficient 340B claim processing.
Get Started Today
Start Processing Claims More Efficiently Today
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