Proximity is the first layer for

One record, every source

Every dispense, every claim, every purchase, every rebate reconciled into working queues that pharmacy, finance, or procurement can manage.

proximity · the record · all claims
Findings
Never captured
Priced wrong
Disqualified on data
Not confirmed
Validations
Sources
Wellpartner
Verity
AmeriSource
In-house dispense
OPAIS
Never capturedPriced wrongQ1 2027
61 rows · sorted by value
Recoverable
$312,440
Claims flagged
1,284
Capture rate
94.1%
NDC
Product
Pharmacy
Claims
Recoverable
00093-7663-56
Humira · 40mg/0.8mL
CVS 04412
318
$84,220
00378-3855-93
Dupixent · 300mg
Walgreens 1120
204
$61,905
65862-0574-99
Entyvio · 300mg
In-house · Main
441
$52,180
00054-0319-25
Ocrevus · 300mg
Kroger 8871
177
$38,440
16714-0128-01
Stelara · 90mg
Walmart 2204
144
$29,695
00071-0155-23
Prolia · 60mg
Albertsons 331
96
$24,110
50242-0053-01
Xolair · 150mg
In-house · North
88
$21,890
00006-3026-02
Keytruda · 100mg
Publix 0912
74
$19,340
59676-0303-01
Remicade · 100mg
CVS 07781
61
$16,720
00074-3799-02
Skyrizi · 150mg
Rite Aid 2210
57
$14,905
00169-4132-12
Ozempic · 1mg
In-house · South
52
$12,480
55513-0144-01
Repatha · 140mg
Meijer 0221
44
$10,215
00002-1434-80
Taltz · 80mg
Costco 1180
38
$9,060
50090-3311-00
Cosentyx · 150mg
Safeway 4402
31
$7,445
00078-0670-61
Cosela · 300mg
In-house · East
27
$6,120
15 of 61 rows $312,440 total

ILLUSTRATIVE · SAMPLE DATA


Increasing complexity, increasing costs

has to go right for every dispense than ever before.

A patient sees their provider. A prescription is written and filled. An administrator confirms it qualifies. The drug is replenished at the discounted price. The benefit is realized. For most of the program's life, that was the whole of it. Until it wasn't.

Select program era
Select entity
dispensing
structure
SELECT ANY ITEM FOR DETAIL · ILLUSTRATIVE

Every new requirement creates a management layer that can fail and cost you. When it does, nothing tells you.

A prescriber who was never enrolled generates no alert. A refill that moves out of network generates no exception. A claim that qualified correctly and was then purchased at full price passes every check you have.

These are not problems waiting in a queue. They are absences — and you cannot sample your way to something that left no record. It has to be every one, every time, the same way. Only a record assembled from every source can do that — and the difference between it and what actually happened is the queue.


What Proximity builds

To correct the record,
you first have to complete it.

Dispense Object

Every one that happened. Not only the ones that were claimed.

  • Provider Systems
  • TPA
    Systems
Claim Object

What qualified, what didn't, and exactly which rule decided.

  • Provider Systems
  • TPA
    Systems
Purchase Object

Matched to the dispense it replenished, at the price in effect.

  • Wholesaler Systems
  • Provider Systems
Rebate Object

Filed inside the window, checked against what it should have paid.

  • Manufacturer Systems
  • Government Systems
  1. every dispense never reached the record
    01Network AssessmentDispenses that never reached a qualification decision, and the gap that stopped them.
  2. the decisiondisqualifiedqualifiedwrong in both directions
    02Qualification ReviewBoth directions. Wrongly qualified is exposure; wrongly disqualified is value left behind.
  3. qualifiedclaimrebatefiled as a claim
    03Claim SubmissionClaims for non-rebate NDCs, rebate requests for the rebate-eligible.
  4. 340B ceiling $4.18
    04Purchase AuditingThis should have been a 340B dispense. Find why it was not priced as one.
  5. OwedReceived 4,182.004,182.00 1,904.501,904.50 2,760.00 2,584.00 176.00
    05Rebate ReconciliationWhat came back from 340B and MFP, against what was owed.

Five queues, owned and cleared. This is revenue cycle management, applied to a program that never had the record to support it.


Five things the record makes possible

See the claims that were never made.

Medical billing has a charge master — a record of every service that should generate a claim. 340B has never had one. Proximity builds it, organized around the patient and assembled independently of what was submitted, so you can see which interactions should have produced claims at all.

the record · gaps by type
Interaction
What is missing
Dr. Alvarez · 214 scripts
prescriber never enrolled
Eastside Clinic · site 04
no contract pharmacy
Rite Aid 2210 · 412 fills
outside the network
Disqualified queue · 1,106
failed on data, not eligibility
Qualified and captured
38,904
Encounters matched
41,902
One designation fixes 412 of them 4 gap types

Find the 340B price you were supposed to get.

A claim can pass every check — administrator, submission platform, wholesaler — and still be replenished at full price. Nothing generates an alert, because no system compares your qualified claims against your wholesaler invoices. We do, at the level of the individual product, pharmacy and date.

invoice ↔ claim · line detail
NDC · date
Invoiced
Ceiling
Δ
Route
00093-7663 · 14 Mar
$412.90
$118.44
+294.46
chargeback
00378-3855 · 14 Mar
$96.10
$96.10
65862-0574 · 15 Mar
$233.75
$61.20
+172.55
correction
00054-0319 · 15 Mar
$44.08
$44.08
16714-0128 · 16 Mar
$188.20
$52.90
+135.30
chargeback
Two clocks · two destinations $602.31 recoverable

The rebate model and MFP, with nothing left to expire.

Until now, a missed 340B dollar stayed missable — you could find it in March and still recover it. The rebate model ends that on January 1, 2027: a qualifying dispense has a window, and when it closes the money is gone, not deferred. For Maximum Fair Price you file nothing at all, and only the purchase record can tell an MFP claim from a 340B one.

windows · Q1 2027
Obligation
Window
Closes
Status
Expected
340B rebate · batch 04
45 days
6 days
not filed
$182,400
340B rebate · batch 03
45 days
21 days
filed
$210,660
Wholesaler chargeback
90 days
34 days
filed
$67,180
Administrator reprocessing
60 days
12 days
in review
$41,905
Site registration · Eastside
forward only
open
MFP refund · January
no filing
short $18,402
$101,965
Expected this quarter · computed before payment arrives $604,110 · $71,880 outstanding

ILLUSTRATIVE · SAMPLE DATA

Every finding is a rule you can read.

You are accountable in an audit. Not your vendor. Every conclusion is deterministic — same inputs, same finding, from stated rules rather than inference — and each traces back to the rule, the reference data, and the records it ran against. Models help author rules. They do not produce conclusions.

And the rules are yours to write.

validation · invoice-ceiling.v3
WHEN claim.status = qualified
AND  invoice.unit_price > ceiling.price
AND  invoice.date WITHIN replenishment_window
The finding
1,284 claims flagged
$312,440
The reference data it relied on
340B ceiling file
v2026.03 · 14 Mar
Wholesaler catalog
AmeriSource · 14 Mar
The records it ran against
Claims evaluated
41,902
Invoice lines evaluated
9,318
Authored by K. Reyes · 14 Jan

We do the data work, and we answer for it.

You are not asked to export files, reconcile formats, or upload anything. We submit what you direct, to destinations you name. We do not sell, license, or share your dispense-level data with manufacturers, pharmacy benefit managers, or their agents — there is no second customer for it.

And your data goes where you send it.

onboarding · week 2 of 6
Your implementation lead
named, and on the call every week
Wellpartner · claim feed
connected
Verity · claim feed
connected
AmeriSource · invoices
mapping
In-house dispense records
queued
Work on your side none
Who this is for
Health centers & grantees

Your program is the financial foundation of your mission. Start with the gap we can quantify from public data, before you give us access to anything: registered sites operating without their own contract pharmacies.

See your site gap
Health systems

In-house dispensing, mixed use, and contract pharmacy are almost never measured together. Start with the check almost nobody has run: your wholesaler invoices against your qualified claims.

Start there
The paper · six pages

340B Gross to Net: The Covered Entity Side

Manufacturers have spent two decades measuring what 340B costs them. Covered entities have no equivalent for measuring what it produces. Six pages on why, and what closing the gap requires.

Read the paper

Proof
Reserved

This slot holds one real finding from a live program — a dollar figure at a stated program size, named once a reference is available.

It stays empty until then. A testimonial that says "great partner to work with" would be worse than nothing here.


Manufacturers can measure what costs them to the dollar.

Covered entities should be able to measure what it produces with the same precision.

That instrument has never existed.
We build it.

Proximity works on 340B and nothing else. One program, at a depth that is only possible if it is the only thing you build for.

Start with a finding Read the paper