True Codes lowers infusion costs by up to 40% per claim by shifting specialty medications from the medical to the pharmacy benefit — while offering compassionate, one-on-one guidance from skilled Nurse Navigators who put patients first.
Our team of Health Strategists partner with third-party administrators to review claims, verify eligibility, and identify cost-saving opportunities. We manage the full transition of billing for infusion treatments – start to finish – ensuring each patient receives care through the most affordable, high-quality option available.
Our turnkey program includes:
Identifying eligible infusion medications through comprehensive claim reviews.
Evaluating and recommending high-quality, cost-effective infusion centers.
Delivering personalized, one-on-one patient support from experienced Nurse Navigators.
A self-funded employer faced soaring health care costs from a member receiving expensive infusions billed under the medical benefit. The patient’s infusion clinic refused to bill under the pharmacy benefit, which would have significantly reduced costs. By transitioning the patient to a cost-effective infusion clinic, the employer saved over $15,000 per infusion, resulting in annual employer savings of more than $368,000 for that single patient — without delaying treatment.
Patients receive personalized, one-on-one care from in-house Nurse Navigators.
94% patient satisfaction rate
Most patients remain at their current infusion center
If a change is needed, our team finds high-quality, convenient alternatives.
Many therapies for chronic conditions—such as rheumatoid arthritis, Crohn’s disease, and multiple sclerosis—are billed under the medical benefit, leading to significantly higher costs. True Codes helps lower those costs by shifting how these medications are accessed and paid for.
True Codes is designed for self-insured employer groups looking to manage high-cost J and Q code medications billed under the medical benefit.
Savings depend on eligible claims. At your request, True Rx can work with your third-party administrator (TPA) to review medical claims and run a detailed savings analysis.
If changes are needed to reduce costs, our in-house Nurse Navigators guide patients through the transition. They provide one-on-one support, and 100% of surveyed participants said their care concerns were fully addressed.
No. There’s no financial risk. Our fees are entirely performance-based and capped, so employers only pay if the program delivers measurable savings. Many choose to implement proactively to be prepared and maximize potential savings if an employee requires infusion treatment in the future.
They understand what works, what doesn’t, and they’ve had experiences with the patients themselves. That’s very important when we talk about taking care of the needs of our employees”
Benefits Administrator
Chad B.
Director of Clinical Operations
Aaron Searls
VP of Business Development
Mariah Pierce
Clinical Account Manager
Tina Wahba
Clinical Account Manager
Ian Jahn
Account Manager