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2019

Co-Pay Card Fraud Detection: The Role of Processes and People

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 The issue of co-pay card fraud has been in the news for some time, but with the increased prevalence of high-priced specialty products, the cost of missing this fraud – literally – has become too high for manufacturers to rely only on traditional techniques, such as human investigators. This isn’t to say that there’s no role for people in stopping co-pay program fraud – they’re absolutely crucial!  They just can’t be the only tool used to [...]

Co-Pay Card Fraud Detection: The Role of Processes and People2021-01-16T14:20:30-05:00

Pharmacy Fraud Within Pharmaceutical Co-Pay Programs: What You Need to Know

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 On a single day in early January 2019, TrialCard Incorporated’s Pharmacy Fraud Detection team identified and blocked three pharmacies engaged in fraudulent behavior associated with pharmaceutical co-pay programs. These pharmacies submitted claims for payment on expensive prescriptions that were never filled or distributed to patients. Fortunately, TrialCard was able to intercept the fraudulent transactions on the same day they were submitted, thereby saving our client nearly $2 million. Had these claims gone through, the brand’s reimbursement [...]

Pharmacy Fraud Within Pharmaceutical Co-Pay Programs: What You Need to Know2021-01-16T14:20:59-05:00

Law and Order: Pharmacy Fraud Unit

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 I really wanted to begin this blog post with some cheesy line that sounded like the opening monologue of Law and Order (the original, thank you, not one of the 400 spin-offs) but, I will spare you. Fraud is here. It's always been here, to be honest, but now it's taken on an entirely new form. We are not just dealing with what I like to call the "monthly bonus" pharmacy owner who processed one or [...]

Law and Order: Pharmacy Fraud Unit2021-01-16T14:21:52-05:00
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