Our technology organizes thousands of unstandardized charge lines into clean, analyzable data, revealing whether billed services align with documentation, coding requirements, and contract terms. From there, we dig into the details—evaluating clinical context, comparing it to the bill, and identifying charges that don’t belong.
Services: Itemized Bill Review
Where most plans limit itemized review to their largest bills, Penstock scales it across all claim sizes—surfacing hidden dollars with speed, clarity, and defensible findings.
What We Do
See the bill the way it was meant to be seen
By structuring every charge: supplies, implants, room and board, medications, OR time, we expose discrepancies that would remain invisible in raw PDFs or manual formats.
Rebuild the clinical picture behind the charges
Our auditors reconcile billed services with clinical records, coding expectations, and medical reasonableness, ensuring recoveries are grounded in evidence, not assumptions.
Give your team clarity for downstream action
Findings come with transparent documentation, contract references, and reasoning that reduces abrasion and accelerates resolution with providers.
Why Health Plans Choose Penstock for IBR
When the details matter most, plans rely on Penstock to reveal what others miss and deliver findings they can act on with confidence.
Clarity from complex data
Facility invoices arrive messy, inconsistent, and nearly impossible to standardize. We turn them into structured, review-ready data so nothing gets missed.
Clinical validation that holds up
Our auditors rebuild the clinical story behind each claim, ensuring every finding is rooted in documentation, guideline expectations, and your contract terms.
Findings providers can understand
We deliver clear rationale, references, and explanations that reduce abrasion and help accelerate recoveries—not complicate them.
Insights you can use tomorrow
Each review highlights patterns that improve upstream accuracy, strengthen edits, and inform provider conversations—long after the individual claim is resolved.

Next Steps
Payment integrity isn’t just about catching large errors—it’s about ensuring accuracy across every claim. Penstock reviews itemized bills of any size to identify patterns, strengthen controls, and prevent small errors from compounding into larger issues.


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