Accuracy is our super power—we’ll make it yours.

Claims and regulatory errors happen fast. We help health plans and their teams move faster.
Regulatory & Claims Accuracy

A more empowered team

Penstock is a service partner and SaaS builder for forward-thinking health plans and providers, empowering recovery, audit and regulatory teams to get accuracy right from the start—when it matters most.

Say Goodbye to Costly Claim Errors

See how our unique recovery solutions eliminate unnecessary costs and create lasting change.

Get Total Transparency

We don’t just spotlight overpayments—we illuminate the root causes, providing insights on systemic errors and offering solutions to rectify them.

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.

Our Committments

“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.

Our Platforms

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.

Develop and manage edits without depending on IT support.
Customize letter templates in real-time.
Track workflow performance from start to finish.

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.

$80M

We identified Federal and State carve-outs valued at $80.1 million.

100%

Our team has completed over 600 successful QHP filings, all certified and approved by states and CMS.

$170M+

We’ve identified $100+ million in overpayments related to the Health Care Reform Act for Health Plans in NY.

Get Inspired

We’re serious about providing resources and insights that support transparency and accuracy.
Our client was eager to expand beyond its existing state boundary, yet faced challenges with
A national Medicare health insurer was looking for a partner to conduct second-pass, post-payment audits
Find out how a 'second pass' audit by Penstock leveraged expert knowledge to reveal $2.5MM

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.

We're always innovating.

Our team is continuously inventing and launching new solutions. Subscribe to our newsletter for the latest news & updates from Penstock.