HOW IT WORKS

Upload your data. The agent finds where you overpay — and proves it.

Give it the minimum (your carrier and where your members live) or the maximum (a de-identified claims feed). The more it has, the deeper it goes.

STEP 01

Upload your data

From carrier + market to a de-identified claims feed. No PHI to start; claims stay in your own environment when you add them.

STEP 02

Find it — and prove it

Every claim is checked against what other payers pay at that provider, and cheaper nearby facilities — flagged as overpaying or not, with every number traced to its source.

STEP 03

Get the plan

Sourced findings plus a granular plan: what to renegotiate, where to steer, which payer to switch to — and continuous monitoring as new data lands.

WALK THROUGH IT

See exactly how the analysis works, step by step.

Vlada · how the analysis works
click through it, step by step

Ideally, the employer or TPA gives us de-identified, claim-level data for every enrollee.

MemberCodeProcedureFacilityPaid
M-041845378ColonoscopyBerkshire Medical Ctr$2,150
M-119073721MRI, kneeBerkshire Imaging$1,290
M-077270553MRI, brainBMC Outpatient$2,640
M-091529881Knee arthroscopyBerkshire Surgical$8,400
M-033166984Cataract surgeryBerkshire Eye$4,820
M-184647562Lap. cholecystectomyBMC Surgery$12,400
M-203199213Office visitPittsfield Internal Med$148
M-067764483Epidural injectionBerkshire Pain Center$3,100
1,240 claims total · showing 8 · all on UHC

Synthetic illustration — the benchmark column (stages 3–4) is live against fact_rate via /v1/resolution/benchmark.

Our agent cleans and standardizes every claim — normalizing codes, resolving providers to an NPI, matching facilities — so each can be compared. Every step is audited.

Raw claim
“COLO SCRN” · prov 1043…
fac “BMC-OP-3”
UHC-PPO-2 · $2,150
Standardized
CPT 45378 · colonoscopy
NPI 1043… · Berkshire Medical Ctr
payer UHC · $2,150
every transformation logged & auditable

Synthetic illustration — the benchmark column (stages 3–4) is live against fact_rate via /v1/resolution/benchmark.

For each claim, we compare what was paid to that exact provider — against the real local price distribution for the same code.

CPT 29881 · Knee arthroscopy · Massachusetts · billed $8,400

Then we group by procedure. Each claim is compared to the live market for its code, then summed.

38 knee arthroscopies (CPT 29881) · as billed
M-0915 · Berkshire Surgical$8,400
M-0648 · Berkshire Surgical$8,400
M-0820 · Pittsfield ASC$4,900
M-1130 · Lenox Outpatient$6,200
+ 34 more
Total billed$319K
Re-priced at the live market

Procedures roll up into categories. Here’s how outpatient surgery adds up.

Knee arthroscopy · 29881$340K
Cataract · 66984$210K
Colonoscopy · 45378$167K
Colon biopsy · 45380$48K
Outpatient surgery$765K above peer median

one of five categories · $3.4M total identified

Synthetic projection — illustrative figures. The benchmark column (stages 3–4) is live against fact_rate via /v1/resolution/benchmark.

The output: a granular plan — what to renegotiate, steer, or switch, line by line.

Renegotiate Berkshire Medical outpatient bundle (45378 · 45380 · 66984) to 1.6× Medicare−$1.1M
Steer colonoscopies & MRIs to Pittsfield ASC (1.4×)−$0.9M
Move specialty Rx to a transparent pass-through PBM−$0.8M
Re-bid the plan on Aetna's network at these facilities−$0.6M
Total identified savings−$3.4M / yr
✓ every line sourced & replayable

Synthetic projection — illustrative figures. The benchmark column (stages 3–4) is live against fact_rate via /v1/resolution/benchmark.

VLADA AUDIT · SESSION PREVIEW · 2026-04-14
> show me where we overpaid in q1

Across 2,404 paid claims in Q1 2026, Vlada identified $3.1M in estimated overpayment concentrated in three categories:

1. Inpatient orthopedic surgery42% above peer median
Est. annual overpayment: $1.4M
Top driver: Facility Y, DRG 470
2. Outpatient imaging78% above peer median
Est. annual overpayment: $890K
Top driver: Facility Z, CPT 74177
3. Specialty infusion31% above peer median
Est. annual overpayment: $760K
Top driver: Drug X, JCode J1745

Every finding carries source lineage back to the relevant TiC MRF and peer-plan benchmark. Would you like to drill into one, or export a board-ready summary?

EVIDENCE · 2,404 CLAIMS · 61 INSURERS PEER SET · METHODOLOGY: AUDIT-V1 §3.2
EXAMPLE·AUDIT OUTPUT·2026-04-14

The output is a document your board can read and your counsel can defend.

FIG. A · SINGLE FINDING · SAMPLE
FINDING 07 · 2026-03-28
Plan paid
$82,400
Peer median
$43,800
Multiplier
1.88×
DRG 470 · Major joint replacement
Source: Aetna TiC MRF · 2026-Q1
Methodology: audit-v1 · §3.2
FLAGGED · ABOVE PEER MEDIAN
FIG. B · REMEDIATION SUMMARY · SAMPLE
Q1 2026 AUDIT · EMPLOYER ID VH-0042 · REVIEWED BY COUNSEL
ESTIMATED ANNUAL OVERPAYMENT
$3.1M
Inpatient orthopedic surgery
42% above peer median
$1.4M
Outpatient imaging
78% above peer median
$890K
Specialty infusion
31% above peer median
$760K
RECOMMENDED NEXT STEPS
  • Renegotiate DRG 470 bundle at Facility Y
  • RFP competing TPA for outpatient imaging
  • Evaluate transparent PBM for specialty infusion
Reviewed by Vlada Intelligence · Methodology audit-v1 · 2026-04-14