Commercial payers
By combining hard data with human intelligence, we deliver real-time visibility into every pharmacy claim — empowering you to reduce waste, optimize contracts, and improve outcomes.
Providing comprehensive payment integrity through 100%
claim-level oversight
We review every paid claim using 700+ proprietary algorithms that evaluate contract compliance, plan design, regulatory requirements, rebates, and clinical appropriateness. This allows us to identify overspending and recover value — through credits, clawbacks, or contract adjustments — even after payment has been made.
Proactive and continuous oversight
Traditional audits are infrequent and retrospective. You often get findings long after the overspending happens.
We review your PBM invoices continuously throughout the contract year, helping you stay ahead of issues and avoid surprises.
Transparency across all PBMs
We’re PBM-agnostic. Whether you work with a traditional or transparent PBM, our platform gives you full access to claim-level data, contract-specific logic, and industry benchmarks. That means your pharmacy benefit operates the way it was designed.
Leverage that drives results
We give you the data-backed leverage to act — whether that means securing a clawback, applying a credit, amending contract terms mid-cycle, negotiating stronger renewals, or achieving member-level savings.
