340B Gap
$8,247
Purchases vs eligible dispenses this month
Uncaptured Encounters
23
Need documentation
Medicaid Exclusion Flags
4
Claims needing review
Days Until HRSA Report Due
12
Monthly compliance deadline
Uncaptured Encounters
| Patient ID ▲ | Rx# ▲ | Drug Name ▲ | Fill Date ▲ | Encounter Gap ▼ | Status ▲ | Action |
|---|
Monthly Reconciliation
82.5% capture rate , target: 95%+
Compliance Alerts
4 Medicaid claims need exclusion review
Monthly reconciliation due in 12 days
Provider Dr. Martinez , credentials expiring May 1
Contract pharmacy audit trail incomplete for 3 claims
Q1 HRSA report generated successfully
Monthly Reconciliation
Total 340B Purchases
$47,200
Total Eligible Dispenses
$38,953
Gap
$8,247 (17.5%)
Capture Rate
82.5%
Drug-Level Reconciliation
| NDC ▲ | Drug Name ▲ | Units Purchased ▲ | Units Dispensed ▲ | Unit Price ▲ | Purchase Total ▲ | Eligible Total ▲ | Variance ▲ |
|---|
Capture Rate Trend (6 Months)
Capture Rate
95% Target
Encounter Management
New Encounter
Encounter Records
| Encounter ID ▲ | Patient ID ▲ | Provider ▲ | Encounter Date ▲ | Outpatient ▲ | Linked Rx ▲ | Status ▲ |
|---|
Provider Credentials
HRSA audits verify that every prescriber was employed at your covered entity during the audit period. Track credentials, employment dates, and auto-flag expired providers.
12
Active Providers
1
Expiring in 30 Days
0
Expired / Inactive
847
Rx Linked This Month
Provider Roster
| Provider Name | NPI | Role | Employment Start | Employment End | Status | Linked Rx |
|---|---|---|---|---|---|---|
| Dr. Sarah Chen | 1234567890 | Physician | 2019-03-15 | , | Active | 142 |
| Dr. James Rodriguez | 2345678901 | Physician | 2020-08-01 | , | Active | 118 |
| Dr. Maria Martinez | 3456789012 | Physician | 2021-01-10 | 2026-05-01 | Expiring May 1 | 97 |
| NP Patricia Williams | 4567890123 | Nurse Practitioner | 2022-06-01 | , | Active | 84 |
| PA David Kim | 5678901234 | Physician Assistant | 2023-02-15 | , | Active | 76 |
| Dr. Robert Thompson | 6789012345 | Physician | 2018-11-01 | , | Active | 63 |
| Dr. Lisa Patel | 7890123456 | Physician | 2024-01-15 | , | Active | 52 |
| NP Michael Brown | 8901234567 | Nurse Practitioner | 2023-09-01 | , | Active | 48 |
Credential Alert: Dr. Maria Martinez's employment ends May 1, 2026. 97 prescriptions are linked to this provider this month. After May 1, any 340B claims from Dr. Martinez will be auto-flagged as ineligible.
NDC 340B Eligibility Lookup
Search any NDC to check 340B eligibility. Database refreshed monthly from HRSA/CMS covered drug feeds. Last updated: March 28, 2026.
Drug Eligibility Database
4,847 NDCs tracked| NDC | Drug Name | Manufacturer | 340B Eligible | 340B Price | WAC Price | Savings % |
|---|
Medicaid Duplicate Discount Prevention
Total Claims Reviewed
412
Excluded (Medicaid)
38
Flagged for Review
4
Clean
370
Flagged Claims
4 need action| Claim ID ▲ | Patient ID ▲ | Drug ▲ | Fill Date ▲ | Payer | 340B Claim | Medicaid Claim | Flag Reason ▲ | Action |
|---|
Full Exclusion Log (38 Claims)
| Claim ID ▲ | Patient ID ▲ | Drug ▲ | Fill Date ▲ | Payer | Exclusion Date ▲ | Excluded By |
|---|
HRSA Audit Packet Generator
Generating ZIP with all 7 reports...
Audit History
| Date | Triggered By | Reports | Action |
|---|---|---|---|
| Mar 15, 2026 | Jessica Moore (Admin) | 7 / 7 | |
| Feb 14, 2026 | Jessica Moore (Admin) | 7 / 7 | |
| Jan 16, 2026 | System (auto) | 6 / 7 |
Import Data
OmniRx works as an audit layer on top of your existing split-billing and TPA systems. Import data from your TPA, clinic, and pharmacy, we match and flag gaps.
PRIMARY INPUT
TPA 340B Claims Import
Upload claims report from your Third-Party Administrator
Supported: Apexus, CHA/Children's Hospital Association, Verity, generic CSV
Drop TPA claims CSV here or click to browse
Max 50MB
Claim ID, Patient ID, NDC, Fill Date, Dispensed 340B (Y/N), Medicaid Excluded (Y/N), Contract Pharmacy NPI
Processing TPA claims report...
Success: Parsed 1,247 TPA claims from Apexus export
18 claims flagged , no matching clinic encounter found
4 claims flagged , potential Medicaid duplicate discount
18 claims flagged , no matching clinic encounter found
4 claims flagged , potential Medicaid duplicate discount
Clinic Encounter Import
Upload encounter records from your EHR to match against TPA claims
Supported: Epic CSV, Cerner export, eClinicalWorks, generic CSV
Drop CSV file here or click to browse
Max 50MB
Patient ID, Provider NPI, Encounter Date, Outpatient (Y/N), Visit Type
Processing encounter records...
Success: Parsed 1,204 encounter records from Epic export
1,186 matched to TPA claims , 18 claims still unmatched
1,186 matched to TPA claims , 18 claims still unmatched
340B Purchase Records
Upload monthly 340B purchase invoices for reconciliation
Standard 340B invoice or wholesaler export
Drop CSV file here or click to browse
Max 50MB
NDC, Drug Name, Quantity, Unit Price, Total, Purchase Date
Processing purchase records...
Success: Parsed 312 purchase line items
All records validated successfully
All records validated successfully
Already using split-billing software? OmniRx works alongside Determ, Visionary, Sentry, and other 340B split-billing platforms. We're the audit and compliance layer, import your TPA claims and we handle traceability, Medicaid exclusion proof, and HRSA audit packet generation.
Import History
| Type | Filename | Records | Date | Status |
|---|---|---|---|---|
| TPA TPA Claims | apexus_claims_2026-03.csv | 1,247 | Mar 28, 2026 | 22 Flags |
| Encounters | epic_encounters_q1.csv | 1,204 | Mar 25, 2026 | Success |
| 340B Purchases | 340b_invoice_mar26.csv | 298 | Mar 20, 2026 | Success |
| TPA TPA Claims | apexus_claims_2026-02.csv | 1,089 | Feb 27, 2026 | Success |
| Encounters | cerner_encounters_feb.csv | 1,089 | Feb 24, 2026 | Success |
PAP Navigator
Enable PAP Module
PAP Navigator is disabled
Enable it in module settings to match patients with manufacturer assistance programs.
Settings
Organization
Users
| Name | Role | Last Active | Action | |
|---|---|---|---|---|
| Jessica Moore | [email protected] | Admin | Today | |
| David Chen | [email protected] | Pharmacist | Yesterday | |
| Maria Santos | [email protected] | Read-Only | Mar 30 |
Modules
PAP Navigator
Match patients with manufacturer assistance programs
Contract Pharmacy Tracking
Track TPA-routed claims through contract pharmacies