Welcome to Penstock

Where post-pay audits
become
insight.
intelligence.
power.
prevention.
insight.

The claim overpayments you’re missing. The accuracy you expect. The insights that power prevention for health insurance payers.

Payment Integrity Evolved

Turning post-pay into progress.

Post-pay isn’t going away. It’s a plan’s last chance to ensure accuracy, recover missed dollars, and gain insights that uncover systemic billing and payment patterns.

Our human-led, tech-enabled audits don’t just recover more. Every chart we review, every data mining error we flag, every claim we correct becomes an opportunity to strengthen your program at the source.

Who We Serve

Built for plans across every line of business.

Penstock partners with national, regional, and local health plans to bring back the depth, attention, and transparency missing in today’s consolidated PI landscape. Our human-led, auditor-controlled model uncovers what others overlook and protects your data with rigorous, enterprise-grade safeguards.

Our Services

Post-pay payment integrity services.

Our deep post-pay audits and services act as an R&D engine behind pre-pay, driving lasting cost reduction for health plans.

Data mining

Sophisticated overpayment concepts across all lines of business (Commercial, MA, Medicaid).

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Chart review

Initial review + second-look review of prior “no-finding” charts.

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NY State Health Care Reform Act (HCRA)

Retrospective, prospective and state audit support.

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Itemized Bill Review

Tech-enabled line-level analysis that uncovers billing errors across complex invoices.

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Upcoding Prevention Program

Analytics that flag unsupported E&M levels and reduce persistent upcoding patterns.

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Why Penstock

Focused where others fall short.

As payment integrity vendors consolidate and innovation stalls, health plans are feeling the pain. We partner closely with health plans like yours to deliver the attention, accuracy and insight you’ve been missing.

The Proof Is in the Numbers

Performance that stands up to scrutiny.

Our results don’t just speak for themselves—they hold up under audit, appeal, and analysis. Every figure reflects real dollars recovered, real accuracy reinforced, and real trust earned.

Data mining:

4-6+

new data-mining concepts each month

≈ $225K

in incremental recovery per month, per 1M covered lives

Chart Review:

61%

of claims reviewed result in a finding

6.5%
98%

appeal rate / net-appeal uphold rate

Real dollars. Real defensibility. Real results. 

Client success stories

Industry Recognition

Growth fueled by results.
Trusted nationwide. 

Penstock was recently named the #1 fastest-growing private company in the Northeast by Inc.—and earned a spot on the prestigious 2025 Inc. 5000 list, ranking No. 353 among the fastest-growing companies in America and top 50 within the healthcare sector.

While others chase scale through consolidation and automation, we’ve earned national recognition by staying focused on deep audits, fast insights, and real partnership—for health plans that refuse to settle.

Has your PI strategy stalled? Big promises, flat results?

It might be time for a fresh look.

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