Audit & revenue recovery for pharmacies

Win the PBM audit. Recover the revenue.

PBM audits and DIR fees quietly pull money out of every pharmacy. AARIP checks every claim you've filed, finds what the auditors will flag, then corrects and rebills it so the revenue comes back.

100%of claims audited
Detect → recoverclosed in one system
Source-linkedevery finding
Rebilled & recoveredtraced to source claim
Full populationnot a 3% sample
aarip.ayaanis.com/audit/summaryLIVE
AARIP Audit Results Summary: claims reviewed, findings flagged, financial exposure, recovered, and still open
Security & compliance HIPAA-aligned · BAA available SOC 2 Type II in progress Encrypted in transit & at rest Full claims population Dispute-ready evidence
Why pharmacies switch

Stop finding problems. Start recovering revenue.

100%

of claims, every run

AARIP audits the full population, not the 3% sample most tools stop at, so nothing hides.

One loop

from finding to cash

Detect, correct, and rebill in the same system, with the audit trail attached.

Every finding

traced to source

Each result links to the claim and rule behind it, so an appeal rests on evidence.

Descriptions of how the platform works; results vary by pharmacy, volume, and payer mix. Figures in the product view are illustrative.

Inside the platform

Defend against extrapolated demands.

When an auditor extrapolates a small sample across your whole claim universe, AARIP shows the projected demand next to the defensible lower bound your team can argue it down to.

aarip.ayaanis.com / intelligence / exposure-model
AARIP Exposure Model projecting an auditor point demand against a defensible lower bound and contestable swing

Product views from a demonstration audit. Figures are sample data. Decision-support only.

The platform

Find the exposure. Then actually recover it.

Most audit tools stop at a list of problems. AARIP takes the finding all the way to money back in the account.

Correct and rebill in one place

The Correction Console fixes the claim and the rebilling engine resubmits it, so a finding turns into recovered cash instead of a note in a spreadsheet.

Detect
full population
Correct
in-console
Recover
tracked to cash

Find what PBMs claw back

Duplicates, pricing and paid variances, reversal irregularities, and structurally deficient claims, surfaced across your whole population before they become a clawback.

Track the recovery

Every correction and rebill is followed through recoupment, by claim, location, and payer.

Ready when the notice lands

Appeals packages and statistical extrapolation review, built the way PBMs actually audit.

One view across locations

Roll up exposure and recovery for a whole pharmacy group, every finding traced to source.

The closed loop

Detect, correct, rebill, recover.

Detection is where most tools stop. AARIP closes the loop, so the finding becomes revenue.

01

Load

Your claims import from your switch or pharmacy system into a clean, canonical warehouse.

02

Detect

The rule catalog audits the full population and flags every finding that carries clawback exposure.

03

Correct & rebill

Fix the claim in the Correction Console and resubmit it through the rebilling engine.

04

Recover

Track the money through recoupment, and keep the evidence ready if the payer pushes back.

Comparative reimbursement intelligence

Walk into the next PBM contract knowing your numbers.

Across your own claims history, AARIP benchmarks what you are reimbursed for the same drug by NDC, payer, and plan. You see where your rates lag, where you are dispensing below acquisition cost, and which contracts are quietly eroding margin, so the next negotiation runs on your own evidence rather than the PBM's.

Reimbursement variance, surfaced

Rank your own NDCs by spread between acquisition cost and paid amount, by payer and plan, to see exactly where margin is leaking.

Below-cost dispensing, flagged

Identify claims paid under your cost to dispense before they compound across a contract term.

A negotiation-ready position

Bring documented, source-linked reimbursement evidence to contract renewal, so the conversation starts from your data.

reimbursement · by NDC
NDC 00093-… · Payer A+ margin
NDC 00093-… · Payer Bthin
NDC 66685-… · Payer Cbelow cost
Same drug, three contractsmargin gap surfaced

Built on your own claims data. Decision-support only; illustration shown contains no real claims data.

The intelligence underneath

Three layers doing the quiet work.

Behind every audit run, three services turn raw claims into recovery, accountability, and defensible evidence.

CORE

Revenue intelligence

Exposure and recovery across the group

Rolls up findings, recovery, and payer patterns across every location, so an owner sees where the money is leaking and where it's coming back.

MAWAS

Accountability & attribution

Who audited, corrected, and rebilled

Ties every finding, correction, and rebill to a user and an action, so the work behind a recovery is always traceable.

EVIDEX

Evidence fabric

Every finding traced to its source

Links each finding back to the exact source claim and rule, so an appeal or extrapolation challenge stands on evidence, not assertion.

Security & compliance

Ready for the room where the payer sits.

AARIP is built to be shown to a payer, an auditor, or a security reviewer without a scramble. Tenant isolation, encryption in transit and at rest, and every finding tied to its source claim.

Visit the Trust Center

Encrypted throughout

Protected in transit and at rest, with per-tenant isolation.

HIPAA-aligned

Business Associate Agreement available for pharmacies handling PHI.

Source-linked findings

Every result traces to the claim and the rule that produced it.

SOC 2 in progress

Type II examination underway; we can share our current status.

Questions

What pharmacy owners ask first.

Do you audit all my claims or a sample?
The full population, every run. Sampling is where exposure hides; AARIP checks every claim you've filed against the rule catalog.
Does AARIP actually rebill, or just flag problems?
It closes the loop. The Correction Console fixes the claim and the rebilling engine resubmits it, then recoupment tracking follows the money back. Detection is only the first step.
Will it work with our switch and pharmacy system?
Claims import from your switch or pharmacy management system into a canonical warehouse, so the audit runs on clean, consistent data.
What happens when a PBM audit notice arrives?
AARIP assembles the appeals package and runs statistical extrapolation review the way payers apply it, with every finding traced back to the source claim and rule.

See AARIP on your own claims.

Twenty minutes, screen to screen. Bring a batch of claims and we'll show you what AARIP finds and what it can rebill.