The Engagement
From your first report
to your next renewal.
Six steps. Monthly cadence. Every procedure benchmarked, every overcharge documented, and a dedicated partner at your side when it is time to negotiate.
01 — RECEIVE
You share your data
What happens
Utilization reports and claims files from your broker or TPA. We work with what you have — no data infrastructure required.
What we deliver
Data ingestion confirmation within 24 hours. First analysis within one week of data receipt.
02 — BENCHMARK
We audit the contract
What happens
Every contracted rate benchmarked against peer plans, Medicare, and in-network alternatives. Every claim checked for billing errors, upcoding, and adjudication mistakes. Published methodology, externally attested.
What we deliver
Full pricing picture: what you paid, what peers paid, what Medicare pays, and where your contracted rates are above benchmark.
03 — SCORECARD
Your Rate Competitiveness Scorecard
What happens
One page, one headline number. Where your contracted rates stand vs. peers in your metro, with dollarized findings ranked by impact.
What we deliver
The Rate Competitiveness Scorecard — the artifact a broker hands a CFO. Methodology-attested, with data currency stamps and peer cohort definitions.
04 — RECOVER
Appeal letters and evidence
What happens
For every finding, we generate the appeal letter and evidence package. Your broker files with the TPA or carrier on behalf of the employer.
What we deliver
Recovery evidence packages with specific dollar amounts. You only pay when dollars are actually recovered — aligned incentives.
05 — MONITOR
Quarterly scorecard updates
What happens
Every quarter, a fresh scorecard. Rate trends tracked over time. New findings surfaced as MRF data refreshes. Fiduciary documentation maintained.
What we deliver
Quarterly scorecard with trend data. Alerts on rate changes above threshold. ERISA fiduciary evidence record kept current.
06 — RENEW
Renewal ammunition
What happens
Walk into renewal with documented evidence: how your contracted rates compare to peers, what was recovered, and the fiduciary record built for your plan.
What we deliver
Renewal brief with 12 months of benchmark data, recovery summary, and plan design recommendations — so you negotiate from evidence, not from what you are told.
The Rhythm
A monthly cadence,
not a one-time audit.
Most consultants do a point-in-time analysis and hand you a report. We are a standing partner. Every month, new claims get benchmarked. Overcharges are flagged as they happen, not discovered a year later.
Credits from your TPA accumulate throughout the year and reconcile at renewal. The longer we work together, the more leverage you have — because every month adds to the evidence.
You send
Monthly utilization and claims export from your TPA (a file they already produce)
We return
Benchmarked analysis with specific overcharges identified and recovery amounts calculated
Ongoing
Your CS partner reviews findings with you and tracks open disputes through to resolution
At renewal
A full-year savings summary, negotiation brief, and plan design recommendations
Pricing
Flexible pricing.
Aligned incentives.
We structure pricing around how each employer wants to engage. Recovery-only contingency, intelligence subscription, or a combination. You choose the model that fits your plan.
On the recovery side, we only earn when dollars are actually recovered. That alignment is intentional.
Recovery-Only
Contingency on recovered dollars. Psychologically free — no money out unless money comes back. Best for employers focused on found money with zero upfront commitment.
Intelligence Subscription
PEPM subscription for contract benchmarking, quarterly Rate Competitiveness Scorecard, and fiduciary documentation. Best for employers who want ongoing visibility into contract competitiveness.
Combination
Contingency on recoveries plus PEPM subscription. Full-service engagement: recovery plus ongoing intelligence. The employer never perceives it as a transparency-tool cost because the audit revenue is contingency and the intelligence revenue is sold under a fiduciary frame.
Ready to see what
yours looks like?
Send us your most recent utilization report. We will benchmark it against market rates and show you what is recoverable — before you commit to anything.