Every contract is written on their terms.
We price it on yours.
Benchify turns your benefit contract into code, prices every claim, models every scenario, and traces every dollar back to the clause that produced it.
Built for Brokers, Consultants, Self-funded employers & Vendors
Used for Bids, Renewals, Reconciliations & Vendor pitches
Every bidder defines its own terms. That's the part that decides the cost.
Two contracts can promise the same credit and pay out very different numbers. What decides it is a clause somewhere else in the document.
“...excluding claims for products within a manufacturer-designated therapeutic family subject to a separate pricing arrangement.”
““Brand Drug” means a product dispensed through a Preferred Retail Pharmacy and listed on the then-current Brand Schedule.”
Everyone else benchmarks the rates.
We execute the contract.
Every clause that pays money is a conditional: it applies only when specific things are true of a specific claim. The contract becomes a program, not a prompt.
“For each Brand Claim dispensed through the Mail Service Pharmacy, Administrator shall credit Plan an amount equal to the per-unit rebate guarantee set forth in Exhibit B, less any Claim excluded under Section 7.4.”
Four things that are true of every run.
contract terms compiled, five contracts, this example
Every obligation becomes a rule, down to the ones nobody thinks to check.
claims run, this example
The whole claims file runs against every rule.
Every figure that comes out cites the clause and the claim line that produced it.
Re-run the same file a year from now and every figure comes back identical.
Compile the contract once.
Ask it anything after that.
Every answer comes back in dollars, priced against your claims, not a market table.
Price the ambiguity
Where language does not resolve to a single rule, we enumerate and price every defensible reading.
“Rebate credits shall exclude claims for low-cost brand products.”
Rank what’s worth pushing
We rank each rate tier by what a point of movement repays on your own claims. Language is ranked the same way, and routinely outranks the rates.
Draft the redlines
Counter-language written into the contract text, with the math attached to every change.
Flag what your data cannot answer
Where a clause computes off a field your extract does not carry, we report it as a finding about the agreement rather than approximating it silently.
§6.2 comes back as a finding you can put to the vendor.
One compiled contract, six reasons to run it.
You only need the one you're in. The same compiled contract covers the other five whenever they come up.
Every bidder's contract, modeled and ranked on one basis.
Cheapest of 5, same basis
Bidder A $148.20 · Bidder C $151.40
The redlines and the leverage ranking, run on the agreement you already have.
Rebate definition scope — most to push
+ $31K on specialty generic rate · redlines drafted for both
The same compiled contract checks whether the vendor delivered what they bid. We reconcile every guarantee against your claims, not against their reporting.
Shortfall flagged against the guarantee
What the offer is worth against the prospect's own contracts, independently attributed.
Net, after what the existing contract takes back
The same claims file, run against the proposed change, to see what it does to net cost.
Net cost impact — the exclusions pay for it
Most agreements already permit one a year. Price the proposed rate against your own claims mix before you accept it.
At the proposed rate, your claims mix
Every contract is different. We already cover all of them.
Each type has its own way of making a good-looking offer cost more than it should, and knowing one does not prepare you for the next.
“100% pass-through” can mean less than half the rebate.
The bidder will say the number is wrong.
Open it in front of them.
Every figure descends to the projection, the clause that governs it, then the claim lines underneath. So a dispute about the total becomes a dispute about one clause or one claim line, which is a much shorter conversation.
| claim_id | drug_class | channel | credit_applied |
|---|---|---|---|
| RX-48291 | Autoimmune biologic | $118.40 | |
| RX-49877 | Autoimmune biologic | Specialty | $124.10 |
| RX-51203 | Oncology support | $96.75 |
The same offer, priced for your seat.
Send one claims file and one contract, and you get modeled output back before a sales call. What you send and what comes back depends on your seat. Pick yours.
Bring one client's RFP
Send one client's claims file and the bidder contracts. You get back the ranking, ordered by what your client would actually have paid.