DIR Forecasting Agent

The clarity engine for DIR and true-up transparency.

PBM contracts and true-ups are opaque by design. Asepha reveals the full spectrum of performance and margin exposure, turning DIR uncertainty into predictable outcomes.

92%

forecast accuracy

$14k

margin saved per store

-25%

dispute volume
Extract data with AI for triaging incoming faxes. McKesson prescription data entry

Real-time DIR visibility

See exposure by payer and pharmacy in one place as claims move, so finance and ops know what’s coming before settlement hits. Drill down to NDC, store, or payer to spot trends early and act before they cascade across the network.
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Contract logic mapped

Parse PBM and PSAO terms into clear rules and thresholds, so every fee driver is transparent, versioned, and easy to audit. Change logs show exactly when terms shift and what impact each revision has on projected fees.
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OCR for pharmacy that will detect and flag missing pharmacy documentation in real-time
Automatic data entry for pharmacy. Automate pharmacy intake of prescriptions and prior auths

Predictive true-up forecast

Claim-level history and plan behavior power monthly and quarterly projections that update automatically and flag where risk is building.
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Performance drivers that matter

Understand how adherence, GDR, and formulary compliance move your DIR, with specific store and payer targets to protect margin.
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Our pharmacy data entry AI can triage pharmacy fax queues by urgency and type
Pharmacy prescription automation. Integrate with any healthcare fax automation tool

Reconciliation ready for finance

Match forecasts to actuals, highlight variances, document recovery opportunities, and hand negotiation-ready reports to your PSAO and finance teams.
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