Pillar 4 of 8

Contract Intelligence
& Compliance

Automated PBM contract clause extraction, fiduciary scoring, and continuous monitoring of contractual guarantee fulfillment against actual performance metrics.

34
Active Violations
Requires action
127
Monitored Clauses
Per contract
91%
Compliance Score
This quarter

Continuous Contract Enforcement

Automated Clause Extraction

NLP-powered parsing of PBM, TPA, and carrier contracts. Extracts pricing guarantees, rebate terms, audit rights, MAC definitions, and fiduciary obligations into structured fields.

Fiduciary Risk Scoring

Every clause rated for ERISA compliance risk. Red-flag provisions like discretionary AWP benchmarks, undisclosed rebate retention, or limited audit windows surface immediately.

Real-Time Violation Detection

Claims data continuously tested against contractual obligations. Spread pricing exceeding agreed caps, rebate pass-through failures, or MAC overages flagged within 24 hours of occurrence.

Negotiation Intelligence

Compare your contract terms against peer benchmarks and industry standards. Identify weak audit rights, excessive discretionary pricing, or missing fiduciary protections before renewal.

Contract Red Flags

Discretionary AWP Benchmarks

"PBM may use AWP as published by a nationally recognized source" gives PBM power to pick highest AWP. Require specific source (First Databank, Medi-Span) with quarterly snapshot dates.

Limited Audit Rights

"Annual audit, 30-day notice, limited to financial records" prevents continuous monitoring. Demand unlimited audit rights covering MAC lists, rebate calculations, and spread pricing methodologies.

Undisclosed Rebate Retention

"PBM shall share manufacturer rebates subject to GPO agreements" hides retained rebates. Require 100% pass-through disclosure with manufacturer names, rebate amounts, and retention justifications.

Know What You Signed

Most plans don't know their own contract terms. We make them enforceable.