Monthly contract verification. Quarterly guarantee checks. Annual financial reconciliation. We recover mistakenly paid dollars—not just identify them.
Start Recovering DollarsYou sign contracts with guarantees and rebates, but you won't verify actual performance until year-end—when recovery windows have closed
Traditional reconciliation happens once a year after the contract year ends. By the time you identify shortfalls, the performance period is over and your ability to recover is severely limited.
Your PBM guarantees minimum rebates or maximum trend increases—but you won't know if they're missing these targets until annual settlement. Quarterly shortfalls compound undetected.
Many contract terms have time limits for disputing charges. Monthly overcharges discovered 18 months later are often beyond recovery windows—the money is permanently gone.
Traditional audits identify problems but lack the teeth to force recovery. You get a report showing millions in overcharges—but collection is a battle you rarely win.
Annual reconciliation finds problems after the damage is done. By the time errors are identified, recovery windows have closed. You need proactive reconciliation that recovers dollars before they're lost forever.
BenefitsBridge Partners delivers monthly, quarterly, and annual reconciliation with aggressive dollar recovery
Continuous accuracy tracking
Monthly verification of contract term application ensures pricing errors and discount misapplications are caught within 30 days—while recovery is straightforward.
Performance monitoring in real-time
Quarterly checks of guarantee performance identify shortfalls while there's still time to correct them—ensuring annual targets are met, not missed.
Complete financial settlement
Comprehensive annual reconciliation validates all financial flows—rebates, guarantees, and contract terms—ensuring complete accuracy and maximum dollar recovery.
Dollars returned to your budget
We don't just identify overcharges—we pursue recovery immediately. Mistakenly paid dollars are returned to your budget, not just documented in reports.
We combine expert pharmacy and Stop-Loss benefit knowledge with aggressive recovery advocacy. You get both the expertise to identify what's owed and the tenacity to ensure it's returned to your budget.
Multi-tier reconciliation that delivers documented dollar recovery
Detailed monthly verification of contract term application—pricing accuracy, discount compliance, and rebate tracking. Errors caught within 30 days, while recovery is simple and direct.
Quarterly assessment of guarantee compliance shows if your PBM is on track to meet annual commitments. Shortfalls identified early enable mid-year corrections before money is permanently lost.
Comprehensive year-end reconciliation validates all financial flows and contract performance. Complete documentation ensures you receive every dollar owed under your contract terms.
Every overcharge identified is pursued for recovery—not just noted in a report. You get actual dollars returned to your budget, with complete documentation of amounts recovered and returned.
The Challenge: A 12,000-member healthcare system had annual reconciliation that consistently identified $1-2M in guarantee shortfalls—but recovery happened only after the contract year ended, limiting their ability to recoup full amounts.
The BBP Approach: We implemented quarterly reconciliation cycles that verified guarantee performance every 90 days. Rebate shortfalls and pricing errors were identified within the same quarter they occurred—enabling immediate correction and dollar recovery.
The Results: Over a three-year period, proactive quarterly reconciliation identified and recovered $6.8M in contract deviations—money that would have been partially or completely unrecoverable under annual-only reconciliation.
This wasn't identification without recovery—this was aggressive pursuit that returned mistakenly paid dollars to the client's budget.
Three tiers of verification ensure no dollar slips through unnoticed
Our multi-tier approach ensures errors are caught quickly while recovery is straightforward. Monthly checks catch pricing errors, quarterly reviews track guarantee performance, and annual settlement validates complete financial accuracy.
Proactive reconciliation recovers dollars before they're lost forever. Contact us to implement monthly, quarterly, and annual verification with aggressive recovery pursuit.
Start Recovering Now