Contract monitoring, adjudication, and payments

Complex contracts, high claim volume, and disconnected processes cause revenue leakage through non-compliance with contract terms, overpayments, and inaccurate financial forecasting. By automating and integrating contract monitoring, adjudication, and payment workflows in a single platform, Model N helps validate claims, reduce risk, and improve contract profitability.

40%

of pharma leaders are fully confident their commercial provider reporting could withstand a detailed audit

Model N 2026 State of Revenue Report

2/3

of pharma companies have mostly or fully automated compliance with contract terms on commercial contracts

Model N 2026 State of Revenue Report

4 out of 10

pharma leaders believe AI could add value to chargebacks, rebates, and claims validation

Model N 2025 State of Revenue Report

Protect revenue from contract to payment

Gain insight into, and control over, contract performance, claim validation, payments, and accruals.

Ensure compliance with contract terms

Track contract commitments, pricing changes, and formulary compliance.

Prevent overpayments

Scrub and validate claims data to flag duplicate entries, prevent costly errors, and verify provider eligibility.

Automate financial calculations

Improve forecasting accuracy and correctly calculate accruals.

Increase cross-department visibility

Create a single source of truth for revenue data across planning, finance, and operations teams.

Solutions built to ensure accurate contract execution

Model N solutions empower you to confidently prevent revenue leakage in payer and provider agreements.

Provider Management

Gain real-time visibility and insights into commercial contracts to reduce revenue leakage and ensure compliance.

Acurately calculate rebates, fees, chargebacks, and accruals
Audit rebate and chargeback claims
Track customers’ performance against tier commitments

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Payer Management

Reduce risk with your payer and pharmacy benefit manager contracting processes

Manage payer rosters
Accurately calculate rebates and discounts
Streamline workflows with preapproved contract templates and clauses

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Validata

Reduce inaccurate payments by flagging ineligible transactions based on established criteria for commercial payers, Medicare Part D, and TRICARE.

Monitor, investigate, and identify suspect claim lines
Reverse claims if payments were made to the wrong market segment
Gain insight into contract performance and compliance

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Truzo Drug Discount Management

Manage drug discount programs with claims-level visibility and connected workflows across 340B, Medicaid, MFP, commercial rebates, and other programs.

Reduce duplicate discounts and revenue leakage
Gain greater visibility across drug discount programs
Streamline operations with an established network of 10,000+ covered entities

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Advisory Services

Leverage expert guidance to mitigate risk, improve commercial performance, and focus on bringing life-changing products to market quickly.

Strategic and operational consulting
Regulatory readiness support
Business transformation and change management

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Revenue management services

Increase operational flexibility by outsourcing some or all of your revenue and compliance processes.

Government pricing compliance
Market access and payer operations
Commercial contracts and revenue operations

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Solutions for Pharma

Solutions for Medtech

Products

Services

Resources

2026 State of Revenue Reports

Company

Solutions for Pharma

Solutions for Medtech

Products

Services

Resources

2026 State of Revenue Reports

Company

Solutions for Pharma

Solutions for Medtech

Products

Services

Resources

2026 State of Revenue Reports

Company

Eliminate revenue leakage across rebates, chargebacks, and claims.