AlethRx uses AI-powered analytics to expose hidden PBM spread pricing, rebate retention, and contract violations — and translates complex findings into plain English your employer clients actually understand.
Three steps from data upload to a findings report your employer clients can act on immediately.
Upload claims files from CVS Caremark, Express Scripts, OptumRx, or any PBM. Our AI automatically maps and normalizes the data — no manual configuration needed.
AI Column MappingMachine learning detects anomalous billing patterns, calculates spread and rebate gaps, benchmarks against true peer employers, and flags contract guarantee violations.
ML Anomaly DetectionAI writes the findings summary automatically. Every report reads like a senior pharmacy analyst wrote it — ready to share with an employer CFO in minutes, not days.
Claude AI NarrativeGive your 3-person brokerage the analytical firepower of a dedicated pharmacy benefits team — without the headcount.
Type any question about an employer's pharmacy data in plain English. "Why did costs spike in March?" answered in 3 seconds with data-backed context.
AI flags unusual PBM billing patterns your competitors miss entirely. Systematic spread manipulation, duplicate claims, unusual pharmacy patterns.
Polished PDF findings reports with AI-written executive summaries. Share directly with employer CFOs. No manual writing required.
Every competitor uses rules-based engines. AlethRx is AI-native — the more employers we analyze, the more accurate the anomaly detection becomes.
Ask any question about pharmacy data in plain English. AI converts to SQL, runs the query, returns a plain-English answer in seconds.
Isolation Forest ML model trained on PBM billing patterns. Catches systematic manipulation that rules-based engines miss entirely.
Claude AI writes the executive summary, key findings, and broker talking points for every report. Analyst-quality at software scale.
Prophet ML generates 12-month pharmacy spend forecasts with confidence intervals — 85%+ accuracy vs 60% for linear trend models.
We'll run a complimentary AI analysis on one of your employer clients' claims data. No commitment. See what your PBM has been keeping from you.
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