Systems Integration Case Study

340B Systems Integration & Automated Data Reconciliation

A repeatable workflow that bridges an EHR capability gap, standardizes recurring 340B file preparation, and reconciles prescription and pharmacy dispensing data for focused review.

Challenge

The health center's EHR could not produce the file format and recurring transfer workflow required for 340B eligibility exchange with its contract pharmacy. Staff also needed a reliable way to compare prescribed medications with pharmacy dispensing activity and identify records requiring follow-up.

Solution

A repeatable workflow prepares validated transfer data from provider e-prescribing records, maintains the reference information needed for recurring processing, and reconciles pharmacy dispensing records to show filled prescriptions, potential capture gaps, and exceptions needing review.

Workflow

From provider records to review-ready reconciliation.

Provider eRx filesPrepare transfer dataValidate inclusionTransfer-ready fileMatch pharmacy fillsReconcile & report

What it demonstrates

  • Bridges an EHR capability gap without replacing the EHR or pharmacy systems
  • Standardizes recurring 340B file preparation and transfer-ready outputs
  • Connects prescription and dispensing records across systems
  • Supports repeatable reconciliation and operational follow-up

Built-in validation

  • Uncertain and unmatched records are retained for review
  • False matches and duplicates are identified before reporting
  • Reference files support recurring patient and provider updates
  • Clean datasets are created from validated records
Output

Validated 340B transfer files, a clean reconciliation dataset, and reporting views that support fill matching, capture review, payer and drug analysis, and refill or coverage follow-up.

Value

Replaces an unsupported and highly manual cross-system process with documented, repeatable processing that makes recurring 340B work easier to run, review, and hand off.