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Benchify

Contract execution for benefit plans

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Benchify compiles benefit contract language into executable rules and runs a claims file against them, so the cost of the agreement can be traced to the clauses that produce it. Where a term does not resolve to a single rule, it enumerates and prices each defensible reading, and every figure cites the clause and claim line behind it. The same compiled contract supports bid comparisons, renewals, reconciliations, vendor pitches, formulary or utilization changes, and mid-term market checks across PBM, medical, stop-loss, and carve-out arrangements.

Core capabilities include clause-level traceability, deterministic re-runs, ambiguity pricing with exposure spreads, leverage rankings that compare rate tiers against language provisions, redline drafting with attached math, and findings for clauses that depend on fields absent from the claims extract. It covers pharma, medical, stop-loss, and carve-out mechanics, and works from a claims extract plus contract files without requiring the incumbent vendor's cooperation.

It is aimed at brokers, consultants, self-funded employers, and vendors. Pricing is a single annual figure scoped to book size, expected motions per year, contract scope, and support level, with no seat count or per-bidder fee; bidders, terms, claims volume, and re-runs are not metered. Engagements are typically annual, and a pilot on one live engagement is available.

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