HelixIQ²Intelligence, Amplified.
340B Duplicate Discount Risk Mitigation Accelerator
Duplicate discount prevention across all market segments — FFS, MCO, dual-eligible, and contract pharmacy. Ask a question, get a visual answer through our conversational interface. No batch windows. No training. No IT tickets.
Duplicate Discounts Cost Manufacturers Billions.
Most Go Undetected.
The Detection Gap
MEF snapshots cover Medicaid FFS only. MCO claims — the fastest-growing segment — fall through entirely. SCC codes go missing from pharmacy claims. TPAs submit outdated data mid-quarter. NPIs change through acquisitions.
Many manufacturers run quarterly batch detection against MEF data alone. That means MCO leaks compound for a full quarter before anyone sees them. By the time a duplicate is flagged, the rebate payment already went out the door.
What HelixIQ² Delivers
Duplicate discount prevention across all market segments — FFS, MCO, dual-eligible, and contract pharmacy. Ask a question, get a visual answer through our conversational UI. No batch windows.
Claim-level detection with confidence scoring from multiple weighted signals. Root cause analysis traces every duplicate to its source. One-click Good Faith Inquiry issuance. Automatic dispute package generation.
Your 340B Operations, Now Conversational.
No training. No IT ticket. No batch run. Ask questions in plain English and get visual answers — alerts, charts, diagnoses, and one-click actions.
“Check for duplicate discounts this quarter across all segments”
“Why did this duplicate happen? Show me the root cause”
“Issue a GFI for the Cook County DSH Enbrel duplicate”
Universal Data Harmonization
Intelligently absorb and unify data across your entire ecosystem. HelixIQ² seamlessly ingests and harmonizes records from any existing contract management, pricing, or transactional system, as well as external third-party utilization feeds, establishing a single, unified source of truth.
Find. Diagnose. Act. In One Conversation.
01 / FIND
Detect Duplicates in Real Time
Ask in plain English. Get alert cards with confidence scores, dollar amounts, segment badges, and root cause labels. High-confidence matches trigger automatic alerts. Low-confidence matches are logged. No batch processing. No waiting for end-of-quarter reports.
02 / DIAGNOSE
Trace Every Root Cause
Why did this duplicate happen? Structured diagnosis card shows the exact root cause — stale MEF data, missing SCC=20, BIN/PCN mismatch, TPA transition error, contract pharmacy misattribution. View contributing factors, entity history, and specific NPI-level detail.
03 / ACT
Resolve with One Click
Issue a GFI directly from the chat. Generate a dispute package with auto-compiled evidence. Escalate to ADR when manufacturers won't budge. Every action requires explicit human approval — one click. Full audit trail with timestamp on every decision.
Dispute & ADR Management
When a GFI confirms the duplicate, generate a dispute package. Evidence is automatically compiled from the match data — claim records, MEF status, SCC codes, BIN/PCN, entity registration. No manual assembly. No hunting through spreadsheets. Full lifecycle from draft through ADR-escalated.
Per-NPI Entity Registry
A single covered entity can have some NPIs carved into MEF and others carved out. HelixIQ² tracks every NPI individually — DSH hospitals, FQHCs, Ryan White clinics, children's hospitals — with contract pharmacy arrangements, TPA affiliations, and state-level filtering across any jurisdiction.
Custom KPI Dashboards
Monitor Cash-at-risk KPIs, exposure heatmaps by payer and segment, and quarterly trends with FFS/MCO overlays. Filter by materiality, payer, or entity with a single click.
Confidence You Can Act On. Evidence Your Auditors Will Trust.
How Every Match Is Scored
Every duplicate match receives a 0–100% confidence score from multiple weighted signals. A missing SCC code lowers confidence, but the match is still investigated via BIN/PCN and carve-in status. You always know how strong the evidence is.
Segment-Aware Detection
Duplicate discount prevention is fundamentally different across market segments. Applying the same method to all claims produces false positives. HelixIQ² uses the right detection method for each segment.
- Medicaid FFS — MEF-based detection at claim level
- Medicaid MCO — SCC=20 codes, BIN/PCN matching
- Dual-Eligible — Cross-segment matching logic
- Contract Pharmacy — NPI registry cross-reference
Stay Audit-Ready. Before HRSA Knocks.
HelixIQ² tracks quarterly MEF snapshots at per-NPI granularity with timing aligned to HRSA deadlines. Catch your own issues before they become citations.
One-click self-audit scans for missing SCC codes, stale MEF data, BIN/PCN conflicts, and GPO prohibition violations. Each finding generates a Corrective Action Plan with specific remediation steps.
Ready to eliminate duplicate discount risk?
Conversational detection. One-click resolution. Always audit-ready.