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Managed services

Commercial Rebate
Management

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Dashboard displaying contract utilization by invoice period with bar charts for units by contract, rebate total by contract, and rebate total by product, alongside a data table summarizing items, units, and rebate rates.
Bell ringing
current_month invoices validated
for your review.
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Formulary data loaded

Woven Data eliminates revenue leakage by accurately and efficiently validating and adjudicating rebate claims, for both pharmacy and medical benefit contracts.

Our managed services take each rebate invoice from claim-level scrubbing and adjudication to analysis of utilization trends and financial impact.

We set up and apply your contractual terms, support your dispute and adjustment workflows, and help integrate rebate data into downstream reporting, GP, and gross-to-net analysis.

Fully Integrated and Managed

Woven Data provides fully managed commercial rebate processing services with minimal operational burden for manufacturers. Services include data loading, validation, calculation, and analytics, supported by the Woven Data Platform.

Orange pen placed on a sheet of paper on a desk with books, a glass, and containers in the background.
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Amended terms have been implemented.

Contract Logic and Advisory Support

Our team configures the rebate validation logic to reflect your current contract terms, enabling accurate payments and flagging potential disputes.

Orange pen placed on a sheet of paper on a desk with books, a glass, and containers in the background.
Bell ringing
3 new formularies in the current month invoice

Integrated Data and Reporting

Get succinct summaries and robust visualizations of your rebate data through the Woven Data Platform to assess your contract performance.

Managed Care Rebate Processing

PROTECT YOUR REVENUE

Claim Validation

Managed care rebate data arrives in a variety of formats across contract types. Woven Data loads and restructures all available data, and applies configurable contract-specific validation rules.

Common validation scenarios:
  • Ineligible plans or products
  • Missing required data elements (e.g., NPIs, timing requirements)
  • Duplicate claims, including retroactive amendments and resubmissions
  • Formulary compliance, where benefit design data is available
  • Claims associated with 340B covered entities based on PHS pricing indicators
User interface screen with highlighted code and text segments, showing a notification stating 'Claims by excluded plans have been flagged'.
IMPLEMENT YOUR CONTRACTS

Rebate Calculations

The Woven Data Platform provides out-of-the-box calculation logic for traditional rebates and fees, as well as price protection.


Our team assists manufacturers with configuring calculation logic and validation rules to implement custom contract terms, such as value-based agreements, that may be negotiated by the manufacturer.

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All Managed Care Programs

PBMs and GPOs
Medicare Part D
HMOs and MCOs
Managed Medicaid

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