Your Always-On Pharmaceutical Chargeback Analyst

Meet your pharmaceutical chargeback analyst.

Bayard is an AI chargeback analyst that works on top of your existing EDI and Model N infrastructure — validating every claim, catching every anomaly, around the clock.

94%+
Claims auto-resolved
Seconds
To review each claim
24/7
Always-on validation
100%
SOX-compliant audit trail
app.bayardai.com/dashboard
Bayard
Chargeback AI
Dashboard
Claims Queue 47
Leakage Alerts 3
Analytics
Wholesalers
Audit Trail
⚠
Revenue Leakage Detected — Action Required
14 McKesson claims referencing expired contract CN-2023-119 · 47-day exposure window
$2.14M
Claims Today
8,841
↑ 12%
Auto-Resolved
94.2%
↑ 1.3pts
Flagged
47
needs review
Protected
$18.4M
this month
Claim ID
Wholesaler · Product
Amount
Status
CB-08841
McKesson · Amlodipine 10mg
$142,880
flagged
CB-08840
AmerisourceBergen · Metformin
$38,442
approved
CB-08839
Cardinal Health · Lisinopril
$91,220
approved
CB-08838
McKesson · Atorvastatin 40mg
$204,551
review
Claims auto-resolved >90% ·
Works on top of Model N Flex ·
Each claim reviewed in seconds ·
Validation runs 24 hours a day ·
Audit documentation 100% automated ·
EDI 844/849 Fully supported ·
No rip-and-replace 30-day integration ·
Claims auto-resolved >90% ·
Works on top of Model N Flex ·
Each claim reviewed in seconds ·
Validation runs 24 hours a day ·
Audit documentation 100% automated ·
EDI 844/849 Fully supported ·
No rip-and-replace 30-day integration ·
The Problem

Billions processed. Millions leaked.

Pharmaceutical manufacturers process chargebacks the same way they did twenty years ago — analysts, spreadsheets, and EDI queues. The scale has changed. The tooling hasn't.

Billions
In annual chargebacks processed through wholesaler channels
Every dollar flows through McKesson, AmerisourceBergen, or Cardinal Health — and every claim gets validated by analysts working through EDI queues one transaction at a time.
Millions
In revenue leaked annually from errors that analysts can't catch at volume
Expired contract references. Ineligible member DEAs. Duplicate submissions. Each is catchable in isolation — none are caught consistently across thousands of daily claims.
How It Works

An analyst who's already read
every claim before you arrive.

Bayard integrates with your existing EDI feeds and Model N Flex environment in under 30 days. No rip-and-replace. No custom build. By the time your team sits down, the queue is already triaged.

01
⚡
Connect your EDI pipeline
Bayard ingests your EDI 844/849 transaction feeds natively. Integration with Model N Flex is pre-built. Your current system of record stays untouched.
02
🔍
Every claim validated in seconds
Three checks run on every submission: contract pricing and terms, member eligibility and GPO roster verification, and a 90-day duplicate lookback scan.
03
✓
Auto-approve. Flag. Explain.
Claims that pass are auto-approved. Claims that fail are flagged with AI-generated reasoning — telling your analyst exactly what went wrong and why, before they open a file.
The Validation Engine

Three checks. Every claim. Every time.

Bayard runs the same rigorous validation your best analyst would — across thousands of daily claims, without fatigue, without context loss.

📋
Contract Pricing & Terms
Cross-references the claimed price against active contract terms in Model N. Flags any deviation beyond configurable tolerance and surfaces expired contract references before they become revenue events.
Price deviation flagging (±configurable %)
Expired contract detection
Contract version reconciliation
WAC vs. contract price delta analysis
✓
Eligibility & Membership
Verifies the submitting member against current GPO rosters and contract eligibility lists. DEA number, HIN, and 340B ID are all checked — catching ineligible submissions before they're processed.
DEA / HIN / 340B ID verification
GPO roster matching
Eligibility date range validation
Contract-member linkage checks
⊙
Duplicate Detection
Scans a rolling 90-day lookback window for matching NDC, quantity, customer, and date range combinations. High-confidence matches are flagged with percentage scores and linked to the original submission.
90-day rolling lookback window
NDC + quantity + customer matching
Fuzzy match scoring (0–100%)
Cross-wholesaler duplicate detection
What Bayard Actually Does

The analyst your team
always wished they had.

A senior chargeback analyst reads patterns, catches edge cases, preps for wholesaler calls, and documents everything. Bayard does all of it — on every claim, every day, without a queue forming.

🕐
On before you are
Every EDI batch that hits overnight is validated, triaged, and ready for review before your team opens their laptops. No morning backlog. No catching up.
🔎
Finds what analysts miss at scale
A human analyst catches an expired contract on one claim. Bayard catches it across every claim in the batch — and flags the pattern before it becomes a six-figure exposure.
📋
Already wrote up the reasoning
Every flagged claim comes with a plain-language explanation of what failed and why. Your analyst starts from a full brief, not a blank screen. Exceptions get resolved faster.
📞
Preps for wholesaler calls
Bayard automatically generates error trend reports and call prep materials for McKesson, AmerisourceBergen, and Cardinal Health — so your team walks in with data, not guesswork.
🗂
Documents everything for audit
Every validation decision is logged with the original EDI data, contract terms referenced, and AI reasoning. SOX and PWC audit prep goes from a multi-week scramble to a single download.
📈
Frees your team for higher-value work
When volume is handled, your analysts move upstream — into contract negotiation, wholesaler relationship management, and exception investigation that actually requires human judgment.
Get Started

Put Bayard to work
on your claims.

We're working with early pharma partners to validate the integration and prove the model. If you run chargeback operations and want to see what an always-on analyst looks like in practice, let's talk.

Early access · No commitment · We'll respond within 1 business day.