True Codes

Optimize the Cost of Infusions

True Codes lowers the costs of specialty medications while also improving the patient experience. Infusion treatment is billed as a pharmacy claim rather than a medical infusion claim. 

Benefits of True Codes

High Quality, Personalized Care

Nurse navigators ensure selected infusion centers match the patient’s treatment needs and meet high care standards.

Convenience for the Patient

More choices for infusion locations and hours to accommodate work schedules and streamline treatment time. 

Significant Savings

A stand-alone infusion center can significantly reduce costs compared to a hospital-based infusion center.

Why Bill Infusions as a Pharmacy Claim?

  • Some of the top prescribed infusion therapies are designed to treat ongoing chronic conditions such as arthritis, ulcerative colitis, Crohn’s disease, or multiple sclerosis.

  • These are typically billed as a J‑Code on a medical claim at a much higher cost compared to the cost on a pharmacy claim.

  • True Rx can work with the third-party administrator (TPA) to identify medications on your current plan that would be impacted by utilizing True Codes and perform a savings analysis.

The Patient Experience

Nurse Navigators work with plan members and health care providers to find the best location for an infusion. Members experience a 94% patient satisfaction rate. 

Other benefits include:

  • Patient convenience: Patients often have a choice of more convenient infusion locations and hours to better accommodate work schedules or childcare needs.

  • Reduced wait times: Outpatient centers are designed to streamline the patient visit, with readily available parking and an efficient check-in process.

  • Reduced cost: A stand-alone infusion center can significantly reduce costs compared to a hospital-based infusion center.

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