Billing infrastructure for specialty drugs.
We get infusions and specialty drugs to patients, approved and paid for. Medical benefit, pharmacy benefit, or both.
> reading a referral fax
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[001] What we do
From referral to paid claim.
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01
Intake
Referrals, labs and clinical notes read in any format and entered in the EHR.
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02
Benefits
Medical and pharmacy benefits checked on payer portals and by phone, with the patient’s cost estimated.
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03
Prior authorization
The chart matched to payer policy, then submitted by portal, fax or phone.
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04
Claims
Claim status tracked, remits read and denials worked until the claim is paid.
[002] Why Mandolin
Built for the most complex path.
The medical benefit has more steps than any other path in drug access. We built for that path first; the pharmacy benefit runs on the same system.
- 01
Both benefits, one system
We check the medical and pharmacy benefit for every drug and take the path that gets the patient treated and the provider paid.
- 02
Fits the systems you already have
Where your systems have an API, we use it. Where they don’t, Mandolin logs in with its own accounts, like a new hire would. Your IT team signs off on every connection.
- 03
Nothing fails quietly
Every step is logged and checked. When something unexpected happens, Mandolin stops and hands it to a person instead of guessing.
Security: SOC 2 Type II, independent penetration testing, encryption in transit and at rest, US-only infrastructure. Trust center ↗
[003] Partnership
A strategic partner, not an automation vendor.
We work alongside your leadership so you can run your business from a position of strength: a better experience for every patient, and a clearer view of your operations than anyone you compete with.
- Patients Faster starts and clear answers on cost, so patients stay with you.
- Operations Every referral, authorization and claim visible in one place, with the bottlenecks called out.
- Strategy Payer and drug-level trends that tell you where to grow and what to fix.
Time to therapy
First-pass approvals
Bad debt
Open authorizations
Bad debt · prevented vs. written off
Approval rate by payer
- Payer A
- Payer B
- Payer C
- Payer D
- Payer E
Activity
[004] Contact
Get in touch.
Tell us about your organization and we’ll be in touch.