Rebate Processing
Managing the Medicaid rebate invoice process across more than 300 programs is no small undertaking. The complexity increases when prior-period adjustments enter the equation, with programs providing varying levels of detail, documentation, and supporting information. Effective reconciliation requires careful validation, consistent processes, and the expertise to identify discrepancies before they become larger issues.
Rebate Processing & Payment Support
Managing rebate processing across government programs can be time-consuming, resource-intensive, and increasingly complex. TPG helps remove that administrative burden by providing end-to-end claims validation, rebate processing, reconciliation, and payment support for Medicaid, TRICARE, and Medicare including IRA-related Inflation Rebates.
Our services are tailored to each manufacturer’s needs and can include:
Receipt and organization of rebate invoices
Validation of utilization and supporting claim data
Identification and review of prior-period adjustments
Dispute resolution with state Medicaid programs, when applicable
Preparation of ROSI/PQAS documentation and funding requests
Customized trending and reconciliation reports by product, period, and/or program
Payment issuance on behalf of the manufacturer
From invoice receipt through payment, TPG provides the oversight, consistency, and expertise needed to help manufacturers manage rebate obligations with greater confidence and efficiency.
Contact us to learn more about our rebate processing and payment services.
What TPG Brings To Your Rebate Process
As the designated rebate invoice contact for our clients, TPG provides comprehensive oversight of the rebate process across government programs. We manage each invoice from receipt through payment, helping ensure claims are accurately documented, validated, reconciled, and processed in a timely manner.
Our team reviews rebate amounts and utilization, identifies duplicate or potentially inaccurate claims, and works directly with government programs to resolve discrepancies and disputes when necessary. Once claims have been validated, we provide clients with clear documentation for review and approval.
Following approval, TPG can coordinate and issue rebate payments on the manufacturer’s behalf, while providing detailed quarterly reporting and ongoing visibility into rebate activity.
The result is a more streamlined, controlled rebate process—giving manufacturers confidence that their obligations are being managed accurately and efficiently.
Could You Be Over Paying Your Rebates?
It happens! It can add up quickly.
Unresolved balances, prior-period adjustments, and incomplete state reconciliations can make it difficult to know whether your rebate accounts are truly accurate. TPG can perform Statement of Account reconciliations, identify discrepancies and potential overpayments, and work directly with state Medicaid programs to resolve outstanding issues.
This is where TPG comes in. We can help!
Technology Meets Expertise
Our system tracks prior-period transactions, helping identify duplicate claims and reduce the risk of duplicate payments. Combined with the expertise of our Medicaid subject matter experts, we provide a disciplined, efficient approach to rebate processing grounded in industry best practices.
Our team also maintains an extensive network of state-level contacts, allowing us to navigate questions, discrepancies, and disputes more efficiently and help keep the rebate process moving.
