Verify rebate logic.
Before revenue leaks.
Manufacturer contracts, rebate programs, and access rules are complex and interdependent. We translate that logic into an executable model and verify every transaction against the contract as written.
You define the rules. Someone else executes them.
“The contract is clear. Everyone should follow it.”
“We didn't know until the dispute was filed.”
Three forces make rebate accuracy elusive.
Each challenge compounds the others. Together, they create systematic drift between what contracts say and what systems do.
Translation loss
Contract terms pass through multiple systems before execution
Each handoff introduces interpretation. Small differences accumulate.
Amendment velocity
Contracts change faster than systems update
New terms get signed before old ones are fully implemented.
Discovery lag
Errors compound before anyone knows they exist
By the time discrepancies surface, recovery windows have closed.
From contract clause to verified claim.
We encode your rebate terms as formal logic — not approximations. Every claim traces back to the exact contract language that governs it.
“Manufacturer shall pay a rebate of 23% of WAC when market share ≥ 85% and product maintains Tier 2 formulary status, excluding 340B-eligible claims.”
Click any result to see the exact contract clause, effective date, and calculation path.
No interpretation drift. Same inputs always produce the same outputs.
New contract terms propagate to verification logic without manual re-coding.
Rebate rules don't exist in isolation.
A single claim can trigger dozens of interacting rules — thresholds, exclusions, tier logic, temporal conditions. Manual verification can't keep up.
Same clause, different execution
Identical language produces three different behaviors. The variance compounds silently.
Small miss, large swing
A 3% calculation difference can trigger a 5-point rate swing across all claims.
Paying for placement not received
Rebate obligations assume access that isn't being delivered.
The math doesn't work.
A typical contract has 47 rules that interact to create 1M+ scenarios. Even checking 1,000 per day would take 3 years — per contract. Manual testing covers less than 0.1% of cases.
Errors compound in silence.
A single misapplied rule can affect thousands of claims before anyone notices. The question isn't if errors exist — it's when you find them.
See it on your contract.
Walk through a rebate scenario using your actual terms. No integration required to get started.
"Tier 2 rebate of 23% applies when market share exceeds 85% in the commercial segment..."
Tier 1 rate applied incorrectly
Market share below threshold — should be 18%, not 23%