It is your money, your members, and your data.
Verifact gives self-insured employers control of the vendors running their health plan.
To everyone else, your health plan is revenue. To you, it is cost.
When you need it
You need Verifact when healthcare spend is outpacing CPI and revenue growth for another year, and you are paying more for less.
What gets in the way
Brokers, TPAs/ASOs, PBMs, networks, stop-loss carriers, and point solutions all sit around the health plan. Many make more when plan spend increases. The employer carries the cost and the fiduciary obligation, but does not get an independent view of what is happening.
What it does
Verifact reviews eligibility, medical claims, pharmacy claims, labs, vendor outputs, stop-loss payments, PBM rebates, contract terms, and other available plan data. It audits 100% of claims and surfaces recoverable spend, avoidable waste, and underperforming vendors.
What you get
Verifact turns audit findings into claim recovery and vendor leverage, giving employers the record they need to manage vendors, prepare for QBRs, and oversee the health plan.
- Audit findings
- Claim recovery and vendor leverage
- Fiduciary oversight record
- QBR and vendor-management evidence
- Typical 6–10% savings opportunity
- Optional Advocate Services for employer-side action