Reimbursement Protection Infrastructure

Know whether the transaction is right. If it isn't, put it into recovery.

CBM analyzes covered pharmacy transactions, audits potential underpayments, prepares qualifying recovery documentation, and tracks payment through reconciliation.

ANALYZE → AUDIT → RECOVERClient-facing decisions. Server-side reasoning.
Live transaction feed

What needs attention now

Transaction intelligence

Every covered transaction receives an economic state

SERVER ANALYZED
Recovery queue

Actionable discrepancies

REVIEW REQUIRED
Select a recovery case to inspect its basis, documentation, timeline, and payment state.
Document center

Client-ready recovery packages

NO INTERNAL RULES
The complete recovery workflow

The product is not a loss report. It is a recovery operation.

Every covered transaction is analyzed. Every potential discrepancy is audited. Every valid recovery path is prepared and tracked through disposition.The pharmacy already knows what the claim paid. CBM turns that known economics into an operational response: proceed, correct, appeal, escalate, reconcile, or close.
1. AnalyzeReceive a transaction and calculate its economic state.
2. AuditSeparate an unfavorable transaction from a potentially recoverable discrepancy.
3. RecoverGenerate the qualifying package, track the payer response, match payment, and verify rectification.
Seeded demonstration: RX-781241 has an $125.00 economic deficiency. The server-side recovery audit identifies $47.82 as the authorized demonstration recovery amount—not the entire deficiency.

Use the Recovery Queue to open the seeded case, review its counterparty and documentation, submit it, and record the matching $47.82 payment. The dashboard recovered-dollar total updates from the server-side reconciliation state.

Transaction intake

Analyze a covered pharmacy transaction

SERVER DECISION

Enter the adjudicated transaction economics. CBM calculates the economic state server-side and opens a recovery audit when a discrepancy requires review.