Attergo Audit

Answer the audit letter the week it arrives.

Audit keeps a documentation checklist on every claim and ranks your exposure by the money on it, so a two-hundred-claim letter becomes an afternoon instead of three weeks of searching.

Where it breaks today

Evidence gets assembled under a deadline

Finding a signature log from eighteen months ago is the same work whether you have three weeks or three days. It should have been done at the counter.

The gap turns up when it cannot be fixed

A missing proof of delivery is a five-minute problem on the day. A year later nobody can answer it at all.

Nobody knows which claims are exposed

Exposure arrives by letter. It should be a number on a screen the week the fill happened.

The software

Fills with evidence gaps
14
of 1,082 this month
Money exposed
$4,188
claim value of those fills
Open audit cases
1
Caremark · due 09 Aug
History available
14 mo
to build a case from
Attergo: the audit case list, showing open PBM audits with their deadlines and the evidence gathered against each.

Sample data from a demo account. Not customer results.

How it works

Every claim carries a documentation checklist: the original prescription, prescriber verification, patient consent, the dispensing record, the label, the signature log, the acquisition invoice, the adjudication record. How complete it is becomes a number on the claim rather than an opinion about it.

Fills are then ranked by what an auditor actually goes after: high dollar value, early refills, prescriber anomalies, quantity, duplicate services, missing documents. Each one carries the money at risk, so the list is ordered by consequence and not by date. It never says anybody did anything wrong.

When the letter comes you paste in the claim list. Every claim is matched to its fill, the documentation is pulled together against the checklist, the gaps are named, and you set the exhibit order the auditor asked for before the package goes out.

Event trail
Prescription entered 08:12:04
Prescriber verified 08:14:22
Consent recorded 08:41:09
Label and dispensing record stored 14:22:31
Marked delivered 16:04:55
Gap raised, no signature log 16:05:02

Connected products

Billing Supplies the paperwork behind every appeal
Margin Keeps the payment record behind every dispute
Compliance Catches the obligation before it becomes a finding
Integrations Feeds every event the file is built from

Week one

Day 0 Claim history connected. Documentation checklist switched on.
Day 1 Checklist tuned to what your PBMs actually ask for.
Week 1 First exposure list reviewed together, ranked by money at risk.
Week 2 Gaps grouped by cause. Most pharmacies find one thing behind most of them.
Ongoing An audit letter costs you an afternoon.

Connect one store. We will tell you what the month cost you.

Read-only credentials you can revoke. We come back with the fills that went out under cost, the services you could have billed, and the fills an auditor would ask about.