AI that understands
pharmacy benefits.
We're building the AI workforce for the $500 billion pharmacy benefit management industry — purpose-built agents that speak PBM, deployed in your own cloud.
Our Mission
Make the collective knowledge of pharmacy benefit management instantly accessible, citation-grounded, and trustworthy — so PBM professionals can focus on decisions, not document searches.
A $500B industry,
ready for transformation.
Pharmacy benefit management sits at the intersection of healthcare, finance, and regulation. It's complex, document-heavy, and ripe for AI — but generic tools don't work here.
Fragmented by Design
PBM operations span formulary management, clinical review, pricing negotiation, claims processing, and regulatory compliance — each in a different system, format, and workflow.
Regulatory Tailwind
10–15 new federal reporting requirements in 2026. CMS Part D transparency rules. State PBM reform laws. The regulatory burden is accelerating — manual compliance can't keep up.
Generic AI Fails Here
PBM has specialized terminology, unique document formats (formularies, PA criteria, SPDs), and domain-specific workflows that general-purpose AI chatbots can't handle.
Massive Operational Leverage
A 10-person clinical team spends 25–42 hours daily on manual research. AI that actually works in PBM doesn't just save time — it multiplies team capacity.
Built by people who understand
both AI and PBM.
We combine deep PBM domain expertise with enterprise AI engineering. Our team has built and scaled healthcare technology platforms.
Coming Soon
Founding Team
We're assembling a team with deep experience in PBM operations, healthcare AI, and enterprise cloud infrastructure.
Ready to see Claimalytics
in action?
We'll walk you through a live demo with your own documents.