Case Study: a Fortune 500 biopharmaceutical company recovers revenue with Kalderos

Delivering value with technology and a provider network

A research-intensive Fortune 500 biopharmaceutical company was facing revenue leakage due to noncompliant duplicate discount claims submitted by states. To reclaim this lost revenue, the company needed to engage in a complex dispute resolution process but lacked the time, resources, and relationships with healthcare providers (covered entities) to do so effectively. They engaged Kalderos and its Drug Discount Management platform to help identify and resolve these disputed claims.

Kalderos leveraged its proprietary platform data and its established network of covered entity users to solve the challenge. Their customer success team directly contacted the healthcare providers to confirm specific claim information required by a high-population state, which the client could not obtain on its own. This confirmation allowed the state to issue credits. As a result of this collaboration, Kalderos helped the company confirm 87% of the disputed claims, successfully recovering a significant sum of funds.