Stop paying Medicare invoices on faith.
iContracts validates CMS and TPA invoices at both the summary and the prescription level, against the same metrics that produced them, before you pay.
The program changed underneath everybody.
Under the Inflation Reduction Act, Part D replaced the Coverage Gap Discount Program with the Manufacturer Discount Program in January 2025. Summary invoices are easy to pay and impossible to check, and CMS payment windows don’t wait for your close calendar.
How iContracts solves it.
The challenge
How iContracts handles it
Old processes don’t map to the new program.
Discount program automation. Part D Manufacturer Discount and legacy Coverage Gap liabilities managed in one place.
Summary invoices can’t be verified.
Two-level validation. CMS and TPA invoices checked at summary and detail level, down to the prescription.
Liabilities surprise you when the invoice arrives.
Liability tracking by period, reconciled against what was invoiced, disputed, adjusted and paid.
When an invoice doesn’t reconcile, small teams absorb the difference.
A dispute path. Variances are documented and pursued, not absorbed.
Part B and Part D depend on metrics calculated elsewhere.
What we validate
- Claim detail against the summary
- Beneficiary eligibility for the period
- Product and NDC validity
- Discount recomputed, not accepted
- Duplicate and previously paid claims
- Invoiced vs adjusted vs paid
- Period liability reconciliation
- ASP consistency with AMP inputs
The value
- Pay what you owe, not what’s invoiced
- Defensible accruals, with liability visible before the invoice arrives
- Consistent numbers across Part B and Part D
- CMS deadlines met without a quarter-end scramble