Contract adjudication software

Pay and bill by the contract. Every time.

ca360 works anywhere a contract has to be adjudicated against real-world activity, payment, or performance data.

The contract should decide the financial outcome before money moves.

Excel is not a billing engine.

Complex monthly billing still gets handled by account teams in spreadsheets. For CFOs, finance, and AM leadership, the risk is concrete: five days every month per account manager, and still a $3M overbilling exposure.

The data and the contract never meet.

Outreach events, app touches, eligibility, attribution, payment, and remittance data sit in systems disconnected from the contract terms that govern them. Finance is left proving what should have happened after the money has already moved.

Incentive contracts need constant proof.

For value-based care and incentive contracts, attribution, utilization, benchmarks, quality measures, and compliance can determine millions in earned revenue. Manual review makes it hard to prove and protect that revenue before the contract period closes.

Nothing is reproducible. Nothing is defensible.

Accounts payable often cannot trace a payment back to the contract term that produced it. For audit, dispute resolution, and revenue recognition, that is a problem.

Your contracts define what gets paid, what gets billed, and what revenue has been earned. ca360 makes sure that is exactly what happens.

Most organizations still pay, bill, reconcile, and prove incentive revenue with spreadsheets, account-manager knowledge, and manual interpretation. ca360 converts contract terms into adjudication rules, runs each relevant transaction or incentive calculation against those rules, and returns a documented answer: this financial decision is correct, or it is not, and here is the math.

Contract management software

  • Stores and tracks contract documents
  • Reminds you of renewals
  • Manual interpretation at billing or payment time
  • No connection to operational, payment, or remittance data
  • No adjudicated financial output

ca360

  • Codifies contract rules as executable adjudication logic
  • Adjudicates every transaction against the rules, every time
  • Confirms whether each payment, invoice, or remittance matches the contract
  • Runs against event, eligibility, attribution, payment, and remittance data
  • Produces billing feeds, payment confirmations, close-to-bill reports, and audit trails

Manual billing is not just inefficient. It can be expensive. ca360 gives the same team a controlled way to bill correctly, confirm payment, find close-to-bill revenue opportunities, and prove the math.

Billing and AR

  • Engagement, outcome, and touch data adjudicated against MSAs and rate cards.
  • Channel rates, tiers, caps, exclusions, minimums, and bundles applied automatically.
  • Billing and payment-system feeds generated with supporting evidence.
  • Invoices and revenue tied to the contract, not the spreadsheet.

Payment confirmation

  • Expected billed amount checked against payment and remittance data.
  • Overbilling, underbilling, and underpayment exposure surfaced.
  • Reconciliation reports created from the same adjudication logic.
  • Finance can prove what happened and why.

Incentive contracts

  • Attribution, utilization, benchmarks, quality measures, and compliance evaluated together.
  • Gaps surfaced before they reduce earned revenue or total-cost performance.
  • Revenue opportunities identified daily or monthly, depending on the contract.
  • Incentive economics become measurable and defensible.

ca360 workflow

Contract management software stores agreements. ca360 operationalizes them.

01

Contract codification

Converts contract terms, MSAs, and sub-agreements into executable adjudication rules.

02

Data ingestion

Loads whatever source data is required to adjudicate the contract: events, outcomes, eligibility, attribution, utilization, quality, payment, or remittance data.

03

Adjudication and reconciliation

Runs each transaction, result, payment, or incentive calculation against the codified rules. Flags every variance.

04

Feeds, workflows, and audit trail

Produces downstream feeds, close-to-bill reports, workflows, light reporting, and traceable calculations for finance, operations, and disputes.

Six documented outputs your teams can act on

  1. Billing and payment feeds

    Adjudicated financial data ready for downstream processing.

  2. Rate and incentive calculations

    What to bill, at what rate, and under which tier, cap, exclusion, bundle, attribution rule, or quality measure.

  3. Payment confirmations

    What was paid compared with what the contract says should have happened.

  4. Close-to-bill reports

    Members, events, or quality gaps close to a billable or incentive threshold.

  5. Variance and opportunity reports

    What happened, what should have happened, and which open items may affect revenue, underpayment, or contract compliance.

  6. Audit trail

    Reproducible calculations, full traceability, every transaction.

Move contract adjudication out of Excel.

Most teams do not have the time, people, or specialized skill to build and maintain custom billing or incentive-contract software. ca360 gives finance, operations, and executive teams a controlled adjudication layer. Andovia supports implementation and each billing cycle, with ca360 running daily or monthly based on the contract.

Start with one contract. Prove the rules, outputs, and audit trail on real transactions.

Peer references available under NDA.

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