Provider contract intelligence for health plans
Fix the setup, not just the claims.
Most payment integrity programs work claim by claim. We start with your provider contracts and help you fix payment errors at the source.
Illustrative example
The contract is negotiated in one place and paid in another.
Network teams negotiate rates, filing limits, and payment methodologies. Claims teams configure the system that pays against them. Over thousands of contracts, amendments, and acquisitions, the two drift apart. Nobody sees it, because the contract terms live in PDFs and the payments live in a claims system.
Terms locked in documents
Rates, timely filing limits, and par status sit in thousands of PDFs that no system reads.
Configuration drifts quietly
An amendment that never reached the claims system keeps paying the old way, claim after claim.
Payment errors stay invisible
Without a structured source of truth, there is nothing to check payments against.
Most payment integrity programs catch errors. We find where they start.
Reviewing claims, before or after payment, finds errors after they have been created. We go to the source, so an error is fixed once instead of caught on every claim that follows.
From contract PDFs to a claims setup you can trust
Structure your contracts.
We extract the terms that drive payment (rates, methodologies, filing limits, par status, effective dates) from PDFs and scans. Human-in-the-loop review delivers 96% field-level accuracy.
Check payments against the source.
We compare what each contract says against how claims are actually paid, using the minimum necessary data: claim and provider identifiers, no clinical details.
Fix the setup.
Each finding, overpayment or underpayment, comes with its dollar impact and the configuration gap behind it, so your team fixes the setup once instead of chasing the same error every quarter.
Every finding is reviewed by people with deep claims and contract experience before it reaches you, and again with your team before anything counts as opportunity.
Correct what was paid wrong. Prevent it at the source. Negotiate from data.
Recover.
Identify overpayments and underpayments against your contracts, sized in dollars. Overpayments are dollars to recover. Underpayments are compliance exposure and strain on provider relationships, better fixed before a provider escalates.
Protect.
Fix configuration gaps at the source so the same error stops repeating across future claims, and keep checking as contracts change.
Win.
See how rates, methodologies, and terms vary across your contracts, and where similar providers are paid differently, so you go into every renegotiation knowing where you stand and what you’re actually paying.
One source of truth for every contract
The same structured contract data powers more than payment accuracy.
Every term, not just rates.
Counterparties, key dates, notice requirements, and referenced policies, structured in one place.
Network operations.
Answer provider questions, load new contracts, and keep your provider systems in line with what each contract actually says.
Deadlines that don't slip.
Renewal and notice windows tracked across your network, so nothing renews by default.
Acquisitions.
When you take on another plan's contracts, see counterparties, terms, and change-of-control provisions in weeks, not months.
Find out if you have a gap before you commit to anything.
Send us a sample of paid claims and the contracts behind them. In a few weeks, your finance, claims, and network leaders see what we found and what it is worth. If there is a gap, you will know its size and source. If there isn’t, you will know that too.
We send a simple data checklist and work with the files you already have, no system integration. Expect a few hours of your team's time in total, across a kickoff, a short Q&A, and the readout.
Findings come packaged for your recovery and adjustment process, and we stay with your team through the configuration fixes, not just the report.
Built so claims data stays low-risk
Minimum necessary data.
Claim and provider identifiers, no clinical details.
Hosted on AWS with access controls.
Documented policies for granting and removing access.
SOC 2.
SOC 2 Type I in progress (expected H1 2027).
Your data stays yours.
You own your contracts, claims, and findings. Parsan AI owns the platform.
Who you'll work with
Anu Ram, Founder and CEO
Product executive with 15+ years building data platforms across payers, providers, and health tech, from zero-to-one startups to a Fortune 10 company. Most recently Chief Product Officer at CertifyOS, with prior product roles at Optum, Papa, and Advisory Board.
Myles Guanzon, Fractional CTO
Engineering leader with 17+ years building healthcare technology teams, from Series A through Series D and through M&A integrations.
Your contracts set the terms. Does your claims system follow them?
Find out with a complimentary assessment on a sample of your claims. Minimum necessary data, no system integration, a few hours of your team's time, and a readout your finance team can act on.