Backed by Y Combinator

The right payment.
Every time.

We turn your contracts into executable logic so we can verify transactions against the actual terms. Past payments. Live claims. Future terms.

For payers, hospitals, and health systems.

#
CLM-8847
Memorial Hospital · DRG 470
Verified
Eligibility confirmed
SPD §4.2
Base rate applied
Schedule A
Modifier 59 check
CMS Rules
Geographic factor
Exhibit B
Verified amount
4 rules passed
$847.32
$11,602.68 saved vs billed
Billed
$12,450.00
Verified in 0.3s
Full audit trail·Contract linked
Transactions today
1,247
All verified
Value protected
$2.4M
This month

The gap between contract and payment.

Payment errors aren't random. They follow patterns that repeat across hundreds of claims because the underlying logic was loaded wrong or never updated.

Hospital contract
Rate escalator clause
Contract rate (2024)
$1,805
Payer still paying
$1,487
Escalator applied
No
Per-claim underpayment$318

Repeated across 847 CPT codes for 5+ months

Payer policy
Authorization logic
Policy effective
Jan 15
Engine updated
Mar 8
Claims auto-approved
52 days
Incorrect authorizations~340/mo

Policy-to-system lag, MRI still auto-approving

Self-funded plan
Network rate schedule
New rates effective
Jan 1
TPA loaded rates
Apr
Q1 on old schedule
Yes
Variance on in-network claims~4%

Compounds across thousands of claims per quarter

Value-based care
Attribution methodology
Active patients
12,400
Excluded by TIN change
847
Dispute window
60 days
Settlement impact6 figures+

Mid-year roster change reduced shared savings

These aren't edge cases. They're systematic patterns that repeat until the underlying logic is checked.

Post-settlement audits find problems.
We prevent them.

Traditional audits review a sample months after settlement. We verify transactions before money moves, so errors don't compound.

Traditional audit
Audit Report Q3
Claim
Day 0
Paid
Day 1
Months later
Error found
CLM-8847
Variance found
Settled$2,450.00
Contract rate$847.32
5%
sampled
60-90d
to detect
12%
recovered
Pre-payment verification
Verification
Live
Claim
Received
Verify
Correct $
CLM-8847
Verified
Correct amount$847.32
Error prevented$1,602.68
All
in scope
<1s
to verify
Pre-pay
flagged
Week 1
Time to first insights
All in scope
Transaction coverage
Traceable
Findings
No hallucinations. Deterministic logic.

We make your contracts executable.

Contract language becomes formal logic that executes the same way, every time. Every decision is traceable back to the source.

Contract

“Apply Modifier 59 when services are performed at distinct anatomical sites or during separate encounters

Executable Logic
when site primary
encounter = separate
then apply(modifier_59)
Deterministic
Same input → same output
Traceable
Every decision sourced
Auditable
Complete paper trail
Sampling10%
BenchifyAll

Accurate

All in-scope transactions verified against every applicable rule. Not a sample.

Post-pay auditMonths
Benchify<1 sec

Fast

Real-time verification. Catch errors before settlement, not months later.

Contract §4.2.1source
Transaction #2024-847input
Modifier 59 appliedresult

Auditable

Complete trace for every decision. From contract clause to transaction to determination.

Recover past variances. Prevent future ones.

Whether you're looking back at historical payments, watching transactions in real-time, or optimizing your contract terms, it all runs on the same verified logic.

Start with any solution. They all share the same contract model, so insights from one flow into the others.

What this means for your organization.

Contract errors compound silently. Here's how organizations like yours are using verified contract logic to protect revenue and reduce operational burden.

Audit
Historical analysis

Recover what's already been lost

Surface rate escalator drift, fee schedule mismatches, and stop-loss gaps sampling missed.

Complete
Analyzed
240K
Variances
3,840
Monitor
Live

Prevent errors before they settle

Catch fee schedule lag, policy drift, and modifier issues before payment.

29881Knee arthroscopy
99214E&M visit
96413Infusion admin
Escalator
27447Knee replacement
Today
1,247 verified8 flagged
Optimize
Contract renewal

Negotiate with real data

Model escalator structures, carve-outs, and stop-loss terms against actual claims.

CURRENT
Tier B PricingOver-broad
67%
PROPOSED
Refined CriteriaTargeted
31%
Week 1
Time to first insights
All
In-scope claims verified
Traceable
Every finding sourced
Full
Audit trail

Built for healthcare data.

Claims data is sensitive. Our infrastructure, processes, and team are designed around that from day one.

Certifications

SOC 2 Type II

Independently audited controls for security, availability, and confidentiality. Reports available under NDA.

HIPAA Compliant

Full administrative, physical, and technical safeguards. BAA executed before any data is shared.

Security Controls
Active
AES-256 encryption at rest, TLS 1.2+ in transit
Role-based access with least-privilege defaults
Every data access logged and auditable
Annual third-party penetration testing
All controls passing4 / 4

One contract model.
Three ways to use it.

Start with what matters most: audit past payments, monitor in real-time, or optimize your terms. Add more as you grow. They all share the same verified logic.

Week 1 time to value
Start with any solution
No long-term commitment
Build your solution
Select any combination
Same contract model
AuditFind $2.1M in recoveries
Analyze historical payments
MonitorCatch errors before payment
Verify in real-time
OptimizeTest changes risk-free
Improve contract terms
Selected solutions3 of 3
Shared capabilities
Contract modelAudit trailReports
Time to value
Week 1