Verq checks every claim against what the plan document actually says — the gaps, the patterns, the proof. Answers no one else has, for the people responsible for a self-funded plan.
Verification you can begin on day one with the plan document alone — then climb as your client's data opens up.
Needs only the plan document — which you already hold. Verq surfaces ambiguities, internal inconsistencies, and administration gaps inside the SPD itself, before a single claim is pulled.
At renewal, through your client's data rights, every adjudicated claim is checked against the plan — and returned as matches plan, departs from plan, or requires clarification. We provide the data-request template.
Every claim checked as it's adjudicated — and because Verq parses the whole stream against the plan, the same data becomes claims intelligence: utilization, plan performance, and cash-flow visibility, every number traceable to a cited decision.
Self-funded employers carry every dollar of claims risk. Yet when they ask what's actually happening inside their plan, the answers are thin, late, or missing.
Nobody checks. The TPA adjudicates its own work and grades its own homework. The plan document says one thing — whether the claims actually follow it is taken on faith.
A paid-claims report at renewal isn't visibility. No patterns, no provider utilization, no read on how the plan is really performing — just a total and a shrug.
Large claims land as surprises. Stop-loss attachment points get breached before anyone saw it building. The people writing the checks are managing cash flow blind.
Plan sponsors have a duty to monitor the people running their plan — and courts are increasingly asking employers to show their work. Good intentions don't leave a paper trail.
The employer holds the risk. The TPA holds the data.
Verq closes that gap.
Five ways Verq makes you more valuable to every self-funded client you have — and every one you're pitching.
Every presentation makes the same three promises — harder negotiation, closer oversight, better service. The room can't tell anyone apart. You walk in with a cited read of the prospect's actual plan, naming the gaps their incumbent missed.
DifferentiationStewardship meetings have quietly become defensive recaps. Flip it: new gaps found, prior gaps closed, recommendations already made to the TPA — caught before your client ever saw them.
StewardshipSince the CAA forced fee disclosure, "trusted advisor" stopped being enough — sponsors now have a duty to evaluate what you're worth. A recurring, fiduciary-grade plan audit is a deliverable your clients can hold: a new advisory line, not a favor.
Post-CAA advisory lineWhen a recommended TPA mis-administers a plan, brokers increasingly get named too — and passive referral is a hard position to defend. Verq puts your oversight on the record: a documented trail instead of good intentions.
Documented oversightOffer any target employer a free plan health check that delivers something genuinely useful — no meeting required. Verq stops being a cost and becomes the top of your funnel.
Top of funnelUpload the part of a plan document that matches the scenario you want to test — mental-health benefits, pharmacy & step-therapy language, emergency-services terms, or experimental-treatment provisions. We'll show you the first claim decision those pages can defend — and the first one they can't. No call, no account, no card.
Benefits schedule, SPD, or plan excerpt
PDF · TXT · DOC · DOCX — max 10MB
Your document is analyzed then discarded. We'll email you the findings.
Extracting benefit rules, mapping claim scenario, checking compliance
The complete findings with exact citations and remediation steps have been emailed to —. Check your inbox (and spam folder) within the next few minutes.
A full Verq audit covers every benefit category, maps every ambiguity, and puts your oversight of the plan on the record — a deliverable you can hand your client.
This tool uses AI to identify potential claim adjudication ambiguities. It does not constitute legal or compliance advice. Results should be reviewed by a qualified benefits attorney before making plan administration decisions.
No accusations. No jargon. Just where each claim stands against the plan document that governs it.
Paid the way the plan says — cited to the exact section that governs it. Most claims land here, and now you can prove it.
Doesn't line up with the plan's terms. Not a charge of misconduct — a flag worth a conversation, an instruction, or a correction.
The plan is ambiguous or silent. The finding drives a documented interpretation, a written instruction to the TPA, or a note for renewal.
Most of what Verq finds gets resolved with a question, an instruction, or a note in the file. That's what oversight looks like when it's working.
We built Verq because we kept seeing the same scene play out: a self-funded employer carrying millions in claims risk, a broker responsible for the relationship — and neither able to answer a basic question: is the plan being run the way it's written?
The root cause was always the same: claims systems were built to process fast, not to prove later. Verq was built to change that. When every claim is checked against the plan document itself, what's happening inside a plan stops being a matter of trust and becomes a matter of record.
That's not a technology story. It's a trust story. And trust, in this industry, is everything.
Ready to talk?
info@verqhealth.com
Medha has spent more than thirty years building technology, including two decades shipping production software for companies like Adobe, Omniture, and Avalara — work centered on compliance, big data, and AI. As CTO and co-founder of CasperLabs, she built and launched the Casper blockchain, an enterprise protocol built on the same principle Verq runs on: records you can verify, not just trust. Recognized as one of the top women in blockchain, she started building computers in a basement in the 1980s and never stopped.
Christian has spent more than two decades building healthcare products, for early-stage startups and established health systems alike. As Chief Product Officer at Fountain Life, he drove revenue growth of more than 100% in back-to-back years and launched products that generated over $40M in new revenue. At Verq, he runs operations — turning plan documents and claims data into answers a broker can put in front of a client.
Upload one page of a benefits schedule. No call, no account, no card. If it's useful, you'll know immediately — and if you want the full picture, we should talk.