The Challenge

This healthcare provider had good systems, a sharp finance team, and a mature rebate operation. Still, something wasn’t adding up. Their validations were heavily manual. Minor discrepancies were easy to miss and hard to surface at scale. Most rebate errors weren’t dramatic, just small enough to fly under the radar. But with thousands of claims in flight, those small errors carried a big cost.

The Solution

We deployed a custom audit solution using the Catalyst Platform™, designed to analyze more than 1 terabyte of historical rebate and chargeback data across contracts, pricing files, claims, and distributor submissions.

Key components included:

Proprietary SmartMatch™ logic for record-level validation
Detection of patterns in recurring low-dollar errors (e.g., unit-of-measure issues, tier mismatches, contract misalignment)
Actionable reports prioritized by financial impact and recovery readiness

The Results

The biggest surprise? How much was hiding in the “small stuff.” This wasn’t a one-time cleanup—it was a turning point in the client’s approach to margin protection.

What the Client Said

“What you do, and the speed in which you do it, is remarkable.”
Manager, Sales Support, Fortune 300 Healthcare Provider

The ProfitOptics Difference

Audit logic tuned to surface subtle, systematic leakage
SmartMatch™ technology analyzes high volumes with pinpoint accuracy
Engagement delivered with zero workflow disruption
Prioritized insights to drive fast recovery and smarter decisions
Ongoing support to sustain results and prevent repeat loss

Let’s Find What You’re Missing

You’re already doing everything you can to protect margin. But even the best teams benefit from a second opinion. Let us take a fresh look, with tools purpose-built to uncover what traditional systems miss.

Schedule a Strategy Session