iMANY CARS REBATES

REDUCE INCENTIVE-BASED REVENUE LEAKAGE.
IMPROVE MARGINS

What does iMANY CARS Rebates do?

iMANY CARS Rebates processes reimbursement (rebate) and administration fees from trading partner sales data, ensuring accurate payments based on agreed upon terms that are summarized in a contractual agreement.

Why is iMANY CARS Rebates important?

Effectively manage contract pricing, rebate, and admin fee scenarios. Scrub incoming sales data for erroneous claims including duplicates, invalid products, dates, and plans.Adjudicate claims against pre-described pricing scenarios that to calculate accurate and timely periodic payments. Ensure government and commercial compliance and prevent incorrect payments.

For whom is iMANY CARS Rebates designed?

Designed for any manufacturer that enters into rebate agreements requiring that require processing of incoming sales data against contracting scenarios.

KEY BENEFITS

Manage complex contractual rebate scenarios.

iMANY CARS Rebates enables effective management of complex rebating scenarios that make uppay-for performance contracts. Standard rebating scenarios (volume, market share, demographic, and flat rebate scenarios) are included and augmented by a formula-builder feature for pricing scenarios that are not handled by standard rebate types.

Manage formulary-based contracts

iMANY CARS Rebates manages formulary-based contracting scenarios. Combined with rule-sets it drastic reduces the time spend managing the formulary-based contracting.

Accurate contract pricing and contract eligibility

iMANY CARS Rebates maintains and stores contract pricing for all contracts.

Manage membership and product contract eligibility

Leveraging eligibility and product rules sets, iMANY CARS Rebates enables manage membership and product eligibility without any manual intervention.

Process and validate incoming data

iMANY CARS Rebates submissions supports importing of trading partner sales data in various formats and and execute configurable validations against the data to determine valid and invalid items. The valid items are priced and adjudicated in real time.

Perform real-time adjudication

iMANY CARS Rebates will price incoming sales data in real time. Pricing according to contracting scenarios provides rapid insight into what pricing scenarios have priced out and performance achieved.

Integrated workflows

Leveraging common workflow services in the iMANY ContractSphere platform enables streamlines approval and amendment processing.

KEY FEATURES

Rule-based Sets

Rule-based sets for membership, product, and condition-based logic dramatically reduces processing times for complex contracts.

Price Groups

Price groups enable break down of contract performance components under one contract umbrella, ensuring that all the contract terms and payment details are in one system of record.

Programs

Programs enable multiple pricing scenarios creation in a single screen, enhancing usability and reducing the overhead associated with contract set up and maintenance.

Submission Processing Validations

iMANY CARS Rebates provides numerous configurable validations for incoming submissions. Prevent erroneous payments by identifying and reconciling incoming line items.

Adjudication Processing

iMANY CARS Rebates can accrue validated sales data that enable real time viewing of adjudication payments and provide insight into payments trends.

Rebate calculations and payments at all level

iMANY CARS Rebates can calculate and display adjudications at all level of the membership hierarchy.

Formulary Management

iMANY CARS Rebates enables administration of complex formulary contracts by providing a formulary management tool that provides the ability to import, store, manage, and contract against formularies.

Integration with iMANY Contract Manager

Leveraging common products, trading partners, contract information, reference information and workflow processes iMANY CARS Rebates and iMANY Contract Manager integrate to provide allow users to seamlessly access contract terms that make up pricing scenarios.
Integration with iMANY Validata. iMANY CARS Rebates and iMANY Validata are tightly integrated to perform script-level validations on all contracts, minimizing the need to rely on expensive third-party validation services.

KEY CAPABILITIES

Eligibility Management

The Eligibility Set feature in iMANY CARS Rebates enable user-defined customer groupings and plans that are eligible for a particular scenario within a contract. Support for multiple scenarios allows for multiple eligibility sets on each contract.
Eligibility Sets are controlled manually or automatically (rule-based). Manual Eligibility Sets require the user – specified membership. Rule-based eligibility automates management of eligibility using pre-defined rules.

Product Management

Rule-based and manually managed Product Sets can create lists of products that are eligible for price groups and/or programs.
Rule-based product sets can be defined to automate the product eligibility on contracts.

Contracting and Rebating Scenarios

iMANY CARS Rebates provides the ability to enter and maintain all rebate -related contracts including critical contract details – contract dates, contract owner, and key contract price groups.
A price group is a “sub-contract” within the framework of the contract; it contains a product set, eligibility set, and performance criteria that will be used in the rebate calculation. The price group functionality enables management of performance scenarios that may be identified on a contract.

Condition Sets and Worksheets

Allows user to create and manage complex rebating scenarios that are found on many complex contracts. For example, conditions for a formulary-based contract can be set to evaluate the formulary status for a product in order to pay a rebate.
Condition Worksheet provides the ability to select and associate a condition rule set to a price group and to specify criteria that the submission data must meet or exceed in order for the price group to pay. Condition rules can be for Book of Business, Formulary Count, Formulary, Product Count or Submitted Data.

Book of Business

In managed-care contracting a trading partner submits data with a particular book of business—typically Mail Order or Retail.
The Book of Business functionality allows a user to create automated conditions based on a book of business. With the ability to segregate adjudications based on the book of business, rebate calculations can include or exclude the book of business.

Submissions Processing (Utilization)

Data pertaining to rebates can be sent in various formats and frequencies. iMANY CARS Rebates provides the ability to define, map, import, and validate the incoming data.
Mapping Sets can be defined to match the file format submitted by a trading partner.
A submission (utilization) can be made up of one or more items for which the trading partner is requesting reimbursement. Adjudications are calculated based on this data. iMANY CARS Rebates provides the ability to import, enter, and validate submission data and correct errors. Once the submission data is validated and authorized, adjudications are created from the submission.
Once submission data is imported either automated or manual processes can invoke the Accept process. If received on paper, the data, upon review, can manually be entered from the hard copy or the Fill Utility to pre-fill the list of rows and to update each eligible row based on the paper invoice.
As part of the Accept process, iMANY CARS Chargebacks validates the data against the data in the system for trading partners, products, contracts, as well as against other submissions, to identify errors in the submission file. A submission file may contain errors on the submission header and/or may contain errors at the item level.
Authorized submissions are (subject to accurate price groups) trigger auto creation of a claim and/or product fee in Adjudications.

Workflow

iMANY CARS Chargebacks includes purpose-built workflows including:

Submissions – Submission Approval, Submission Undo, and Authorize.
Adjudications – Adjudication Change Status, Adjudication Bump Tiers, Adjudication Change Pay To, and Condition Disposition Overview.
Settlements – Approval Workflow, Approval Workflow for Adjusted Adjudications, and Voids.

Adjudication

Authorized submission information that is evaluated against a contract and then priced to calculate a reimbursement and/or product fees
Data from Submissions is compared to the contract, and appropriate reimbursement, chargeback, and administrative fee amount is calculated. Built-in safeguards process adjudications only against Active, Expired or Canceled contracts provided the submission occurs during the period before the contract has expired or has been canceled.
iMANY CARS Rebates enables users to review calculation, adjust the tiers achieved and re-price an adjudication. Once the adjudication is processed, users must approve before any payment can be made. Once the status is changed to Approved, the information is available within Settlements to determine the payment methods.