When a covered entity submits a dispute, the manufacturer will receive an email from Kalderos with additional information provided by the covered entity. The manufacturer must respond within 30 days from receiving the email and evaluate the additional information provided by the covered entity. If the information provided by the covered entity addresses the reason for the rebate failure or reversal, the manufacturer is expected to pay the previously failed or reversed rebate in the next rebate cycle.
If no action is taken by the manufacturer in this timeline, the dispute will automatically be accepted and the disputed claim will be approved, or modified and approved, as is appropriate.