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.
Welcome to Penstock
The claim overpayments you’re missing. The accuracy you expect. The insights that power prevention for health insurance payers.
Payment Integrity Evolved

Who We Serve
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
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).
Itemized Bill Review
Tech-enabled line-level analysis that uncovers billing errors across complex invoices.
Upcoding Prevention Program
Analytics that flag unsupported E&M levels and reduce persistent upcoding patterns.
Why Penstock
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
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:
new data-mining concepts each month
in incremental recovery per month, per 1M covered lives
Chart Review:
of claims reviewed result in a finding
appeal rate / net-appeal uphold rate
Real dollars. Real defensibility. Real results.
Industry Recognition
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.


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