# Benchify > Benchify compiles a benefit contract into rules and runs your claims through it. Language that doesn't resolve to one rule is priced at every defensible reading, and every figure traces to the clause that produced it. ## What Benchify Does Benchify is a healthcare technology company (YC-backed) that executes benefit contracts against real claims. A PBM or medical benefit contract grants terms and then limits them — different definitions, different exclusions, different pricing mechanics from bidder to bidder — so two contracts rarely restrict the same thing in the same place, and reading either one does not tell you what it will cost. Benchify compiles the agreement into rules and runs claims through it: - **Prices every term** in every contract against the client's actual historical claims, rather than against a bidder's own illustrative assumptions - **Prices every defensible reading** where a term does not resolve to a single rule, rather than picking one interpretation silently - **Ranks bids by modeled cost** — what the client would actually have paid under each contract, not the headline discount or guarantee - **Traces every figure** to the specific contract clause, effective date, and claims that produced it, so the analysis can be interrogated line by line There are two inputs: a claims extract and the contracts. There is no per-client integration project, no warehouse build, and no cooperation required from the incumbent whose contract is being evaluated. A BAA is executed before any data moves. ## Who It Is For ### Benefit Brokers Walk into the finalist meeting with every bidder's contract modeled against the client's real claims, ranked by what the client would actually have paid. The analysis ships as the broker's own work product and the client relationship stays theirs. URL: https://benchify.com/for/brokers ### Benefit Consultants Model every bidder, not the three there was time to reprice by hand. Deterministic logic with clause-level traceability on every finding, built for the client who tries to break the methodology. URL: https://benchify.com/for/consultants ### Self-Funded Employers A documented, clause-traceable record of how a vendor was selected — the priced ambiguities and the disadvantageous terms ranked by dollar impact. This is a record of the process, not a claim that it discharges any fiduciary duty. URL: https://benchify.com/for/self-funded ### Vendors For any company selling a cost-containment or clinical program into a self-funded employer or health plan — transparent PBMs, cost-plus dispensing, formulary and comparative-effectiveness analytics, specialty carve-outs, and the long tail of point solutions (diabetes, MSK, behavioral health, navigation, payment integrity). Every savings claim is what changed multiplied by what it was worth; the vendor can prove the first factor and cannot compute the second, because the value per unit is set by the plan's own contracts rather than by a benchmark. This prices the change against those contracts — including mechanics that quietly recover part of it, such as rebate credit taken against a guarantee or aggregate guarantee measurement, often in the agreement nobody is replacing. Independently attributed and clause-traced, so it survives the prospect's consultant. IMPORTANT LIMIT: this does not validate clinical outcomes and does not compute a counterfactual. Establishing that a program caused an outcome requires matched-cohort analysis controlling for regression to the mean and participation bias, which is causal inference, not contract execution. Benchify prices the effect; it does not establish it. Complementary to an outcomes validation or an actuarial evaluation, never a substitute. Never a marketplace, ranking, or paid placement between vendors. URL: https://benchify.com/for/vendors ## Six Motions The same engine runs on any of these; only the inputs change. - **Choosing a PBM or medical carrier** — a full bid. A three-to-five year event per client. Every bidder's contract is modeled and ranked. - **Renewing with the incumbent** — one contract, no other bidders. The redlines and the leverage ranking (which rates and which language are worth pushing) come from this same run. - **A mid-term market check** — the annual motion, and most PBM agreements already permit one. Runs against the contract already in force. This is the most common way to start. - **Checking they paid what they owed** — reconciliation. The same compiled contract verifies whether the vendor delivered what they bid: guarantees reconciled against real claims, not against their own reporting. - **Changing formulary or utilization management** — the same claims file, run against the proposed change, to see what it actually does to cost rather than to the headline discount. - **A vendor pitching a carve-out or point solution** — the entire motion for a vendor pricing what its own offer would be worth under a prospect's existing agreements. See "Vendors" above. ## Key Differentiators - **Deterministic**: the same input produces the same output every time. This is contract logic evaluated against claims, not a language model's opinion about a contract. - **Complete rather than sampled**: every bidder and every term is modeled. Pricing does not change with the number of bidders, deliberately, because the argument is that the comparison should be complete. - **Clause-level traceability**: every number resolves to the contract line, the clause, and the claims behind it. The advisor presenting it can defend it without defending a black box. - **White-labeled for brokers and consultants**: the output is the advisor's work product, under their name. The one exception is the vendor motion, where independent attribution — visibly Benchify's computation, not the vendor's own claim — is the point. - **No incumbent cooperation required**: everything is derived from contract text and the client's own claims — which matters most in a market check, where the incumbent has no incentive to help. ## Pricing Annual, scoped to book size, expected RFP and market-check volume, and whether PBM, medical, or both are in scope. No seat count and no per-bidder fee. Modeling one more bidder does not change the price. URL: https://benchify.com/pricing ## Compliance - SOC 2 Type II certified - HIPAA compliant (BAA executed before any data sharing) - AES-256 encryption at rest, TLS 1.2+ in transit ## Company - Website: https://benchify.com - Contact: https://benchify.com/contact - Request a Demo: https://cal.com/team/benchify/demo - Pricing: https://benchify.com/pricing