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Description:

North Carolina pharmacies aren't losing appeal fights—they're losing appeal attempts. The law already gives you the right to challenge below-cost commercial reimbursements and MAC pricing. The problem isn't legal, it's operational: no staff bandwidth to track deadlines, no system to document underpayments claim-by-claim, and no time to build an appeal packet between filling scripts and answering the phone.

This session flips the conversation from "you can appeal" to "here's how you actually will." We'll walk through Pharmacy Marketplace, a technology platform built to remove the exact friction points that keep NC pharmacies from filing: automated underpayment detection, pre-built documentation, deadline tracking, and a guided escalation path—so appeals stop depending on whether someone on staff had a free hour that week.

What you'll walk away able to do:

• Identify underpaid claims automatically instead of manually auditing reimbursement reports line by line
• Generate appeal documentation in minutes, using the platform's built-in templates aligned to NC-specific PBM appeal requirements
• Track every appeal's deadline and status in one place, so nothing expires from being forgotten
• Escalate unresolved appeals to the NC Department of Insurance with the documentation trail already built, ready for enforcement action
• Turn appeals into a repeatable weekly workflow, not a one-off fire drill your best tech does when there's time

Who this is for:
Independent NC pharmacists and staff stuck in appeal "failure to launch syndrome"—you know the underpayments are happening, you know you have the right to appeal, but the claim never actually gets filed before the deadline passes.

The core shift: this isn't a compliance refresher. It's a live demonstration of the system that turns North Carolina's existing appeal rights into real dollars recovered—without adding hours to your week.

Presenters:

Kris Rhea, MBA — Director of Business Development, Pharmacy Marketplace
Kris has spent the last 15 years working alongside wholesalers, GPOs, and other strategic partners to help independent pharmacies operate stronger businesses. He's personally visited over 2,500 pharmacies nationwide, giving him a firsthand view of the day-to-day operational barriers—including PBM appeals—that keep independents from recovering the revenue they're owed.

Kayla Copeland, CPhT — Lead Trainer, Pharmacy Marketplace
Kayla brings 15 years of hands-on experience in independent pharmacy, currently serving as lead technician at Anderson Drugs in Etowah, TN, while pursuing her PharmD at South College. Known internally as the team's PBM Appeal Guru, she's the creator of the M.O.M. Manual and has trained pharmacies across multiple states on how to turn appeal rights into an executable, everyday workflow.