Health Plan Verification · For Self-Funded Plans

Find what your TPA paid wrong. Prove what it paid right.

Verq reads your plan document and checks every claim your plan pays against it — then returns the answer, cited to the section. Start with the document you already have. No claims data needed.

What Verq finds for employers → What Verq delivers for brokers →

or talk to the founders — twenty minutes, no pitch →

Built by a thirty-year compliance & AI engineer and a twenty-year healthcare operator. Every finding Verq returns is cited to the plan language that governs it.

Real audit · anonymized Fix before renewal

This plan gives two answers to the same family’s claim.

One big claim early in the year, and the document says the deductible is met in one place and not met in another. The administrator has to pick one. The difference is thousands of dollars.

From the document itself Out-of-Pocket Expenses · p.16

“A Deductible applies to each Covered Person up to a family Deductible limit.”

Schedule of Benefits · p.4

“The FULL Family Deductible Amount Must Be Met Before The Plan Will Begin Paying.”

→ One sentence settles it: say which design you meant. Best done before renewal, while the document is already open.

One of four high-severity conflicts found in a single real plan document. See the full sample audit →

Two Audiences, One Record

Built for the people who carry the plan.

For Self-Funded Employers

You fund every claim.

Find the errors costing you money. Defend your stop-loss reimbursements. Put your fiduciary oversight on the record — provable, not presumed.

Start with a Plan Document Audit — week one, document only.

What Verq finds for employers →

For Brokers & Consultants

You answer for the plan.

Turn claims oversight into a deliverable your clients can hold — and a reason they choose you at renewal.

Bring one client’s plan document. We’ll show you what’s in it.

What Verq delivers for brokers →

The Problem

The employer holds the risk. The TPA holds the data. Nobody checks.

The TPA adjudicates the claims — and grades its own homework. Whether the claims actually follow the plan document is taken on faith.

A paid-claims report is a total.A number is not an answer.

An annual audit is a sample.A sample is not a record.

“We trust our TPA.”Trust is not verification.

Verq closes that gap — every claim, checked against the plan itself. See a real sample audit →

How It Works

Three steps. Start with what you already have.

Step 1Week one · document only

Plan Document Audit

Verq reads the plan document and surfaces the ambiguities, conflicts, and provisions a claim decision can’t defend. No claims data needed.

Step 2At renewal · data rights

Historical Claims Verification

Every adjudicated claim checked against the plan and returned with a cited answer. We provide the data-request template.

Step 3Ongoing

Continuous Verification

Every claim checked as it’s paid — and the same stream becomes utilization, performance, and cash-flow intelligence, every number traceable.

Every claim returns one of three cited answers: ✓ Matches the plan ⚑ Departs from the plan ? Needs clarification

Talk to the founders about your plan →

Who’s Behind It

“The problem isn’t that claims are being processed wrong. It’s that correct decisions can’t be proven.”

Verq founding team

Medha Parlikar

CEO & Co-Founder

Thirty years building technology, including two decades shipping production software in compliance, big data, and AI. Co-founded Verq on one principle: records should be verifiable, not trusted.

LinkedIn →

Christian Allard

COO & Co-Founder

Two decades building healthcare products across startups and established health systems. Co-founded Verq to make complex systems clearer, more accountable, and more responsive to the people they serve.