# Benchify

> Benchify turns healthcare payer contracts into executable logic. Predict how claims will process before submission. Verify every payment. Explain every denial. Traceable to the contract clause.

## What Benchify Does

Benchify is a healthcare technology company (YC-backed) that makes payer contracts machine-readable and executable. The platform ingests contracts (PDFs, fee schedules, SPDs, amendments) and translates them into deterministic logic that can:

- **Predict** how a claim will process before it is submitted, flagging missing information and likely denials
- **Verify** every payment and determination against the contract terms, catching underpayments and wrongful denials
- **Explain** every finding with a trace back to the specific contract clause, providing evidence for appeals and recovery

## Solutions

### Claims Audit
Replay historical claims against contract logic. Surface every underpayment and wrongful denial with full traceability. No sampling — every claim in scope is verified.
URL: https://benchify.com/solutions/audit

### Monitor
Continuous real-time verification. Know how claims will process before they settle. Explain denials when they happen. Catch underpayments at the point of payment.
URL: https://benchify.com/solutions/monitoring

### Optimize
See how every contract clause performs against actual claims data. Model what-if scenarios for renewals. Negotiate with evidence, not estimates.
URL: https://benchify.com/solutions/optimize

## Use Cases

### Hospitals & Health Systems
Recover underpayments, overturn wrongful denials, and verify every payment against contracted rates. Predict claim outcomes before submission.
URL: https://benchify.com/use-cases/hospitals

### Payers
Verify adjudication accuracy, defend provider disputes with contract evidence, and ensure vendor compliance in real time.
URL: https://benchify.com/use-cases/payers

### Value-Based Care (ACOs, Bundles, Capitation)
Predict what your settlement should be before the payer sends it. Explain every variance when it doesn't match.
URL: https://benchify.com/use-cases/value-based-care

### Self-Funded Employers
Hold your TPA accountable to the plan document. Verify every claim, explain denials your employees shouldn't have received, and flag stop-loss gaps.
URL: https://benchify.com/use-cases/self-funded

## Key Differentiators

- **Deterministic**: Same input produces the same output every time. No AI hallucinations.
- **Traceable**: Every finding links to a specific contract clause, effective date, and calculation.
- **Pre-submission**: Can predict how claims will process before they are filed, preventing denials.
- **No integration required**: Works from contract PDFs and claims files. No EHR or system integration needed to start.
- **Full lifecycle**: Pre-submission flags, post-payment verification, and denial explanation in one platform.

## 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