Accuracy is our super power—we’ll make it yours.
A more empowered team
Say Goodbye to Costly Claim Errors
Get Total Transparency
Serve More Members
Our software and services transform the complex, lengthy regulatory filing process into a streamlined operation, making expansion into new markets simple and seamless.
Real intelligence powered by real people
Reclaim time and control with an end-to-end partnership that beautifully and seamlessly connects human and machine intelligence—to prevent recurring issues at the source.
Payment Accuracy
Our SaaS platform gives health plans the tools and insights they need to identify overpayments, correct them and implement their own edits with ease, ensuring correct payments and mitigating future discrepancies.
Regulatory Efficiency
The increasing need for expert health plan support in handling complex regulatory filing tasks calls for a dedicated partner—and it’s exactly where we excel. We’ll focus on your compliance success while you focus on your strategic growth.
“Open Intelligence” and Penstock’s true north
We’re sharing the industry secrets other vendors won’t.
Transparency
Witnessing firsthand the lack of transparency in the industry, we’re deeply passionate about providing solutions that bring clarity back into focus.
Empowerment
Our solutions instill true ownership of outcomes. We arm your teams with advanced, intuitive technology and the comprehensive education needed for success.
Experience
We’ll transfer our seasoned expertise, encouraging a transition from vendor reliance to empowering your internal teams—rest assured, we’re always on standby when you need us.
Collaboration
Think of us as an extension of your team. Your triumphs are ours, and we’re arming you with the knowledge, service and technology to reach new heights.
Technologies built for health plans and their teams
Audit Management Technology
ClearBridge is a comprehensive SaaS technology purpose-built to help health plans move beyond the current reality of payment integrity. Say goodbye to the IT waiting game and hello to seamless self-service with an all-in-one audit workflow platform that boasts intuitive search, reporting and edit development.
Edits
Letters
WorkflowEditsLettersWorkflow
Insight
Workflow
AccuracyInsightSimplify filing with user-friendly template assistance.
WorkflowSimplify workflow for internal teams.
AccuracyTake the guesswork out of deadline tracking and management.
Automated Regulatory Filing
Our intelligent SaaS solution simplifies the complex regulatory filing process. ClearFile ensures a seamless user interface for filing success through automated, real-time access to state guidance and streamlined integration and dissemination of binder, form and rate filing deadlines and requirements.
We believe in accuracy and transparency
We are stewards of transparency, uncovering details of claim discrepancies that others choose to shroud.
We're Big On Impact
Our team is focused on driving positive change at every turn, from empowering auditors to driving cost savings. But we believe in the power of experience over promises—so we invite you to witness our commitment in action.
$90M
We identified Federal and State carve-outs valued at $90 million.
100%
Our team has completed over 1300+ regulatory filings across all lines of business, all certified and approved by states and CMS.
$200M+
We’ve identified $200+ million in overpayments related to the Health Care Reform Act for Health Plans in NY.
Get Inspired
- Customer Success
![[Case Study] Medicare Advantage Second-Pass Audit](https://www.penstockgroup.com/wp-content/uploads/2023/08/Meticulous-Second-Pass-Penstock-Audit-Returns-4.8M-to-Medicare-Advantage-Health-Insurer-jpeg.webp)
- Customer Success
- Customer Success
Let’s get started
Ready to mitigate recurring, high-cost claim and regulatory filing errors?
Payment Accuracy
From training and education to technology and scale, we’ll help your health plan transform into a payment integrity powerhouse.
Regulatory Efficiency
We understand every facet of the regulatory filing process. We’ll take care of your certification, while you focus on what matters most—your members.
