THIRDSIGHT - Revenue management for life sciences reenvisioned

	Thirdsight	Leading Rebate Processor 1	Leading Rebate Processor 2
Adjudication Accuracy & Logic	✓	◐	◐
Adjudication Calculation (Claim Math)	✓	✓	✓
AI + Automation	✓	◐	✕
Analytics & Explainability	✓	◐	✕
Dispute Recovery Execution	✕	✓	✓
Dispute Tracking & Defensibility	✓	◐	◐
Formulary Intelligence	✓	✕	✕
Payments & Financial Execution	✕	✓	✓

[ typical solution comparison ]

	Level	Duplicate Identification	Anomaly Detection	Business Logic Engine	External Data Feed Smart Integration	Formulary Parsing	Policy Parsing
	3	Column Clusters + Net Debit/Credit Identification	Column Clusters	Advanced	Y	Parsing and Data Sync for Updates	Y
Solution Typical	2 External Data	Historical Claims	Simple	Simple	Partial	N	N
Solution Typical	1 Baseline	Single Column	N	Simple	N	N	N

[ why us ]

Revenue leakage reduced

Recover millions by addressing misaligned rebates and manual, outdated adjudication methodologies.

Contract performance made actionable

Gain visibility into contract terms and value drivers — knowing what to adjust and where to optimize.

Gross To Net (GTN) strategy sharpened

Forecasting, segmentation, and scenario planning become more accurate, enabling better financial decisions.

Decisions accelerated

With intuitive solutions and real-time insights, teams spend less time wrangling spreadsheets and more time taking action.

Revenue management re-envisioned

Fuse deep expertise with AI-powered technology to capture, protect, and grow revenue in the face of commercial and regulatory complexities.

[ thirdsight AI modules ]

TSAI-F

Formulary Parsing

Language Model

Scrapes and catalogs formulary drugs, tiers, conditions, and plan design metadata.

TSAI-RE

Rebate Adjudication

Machine Learning

Identifies duplicates, anomalies, and generates predictions for root cause of rebate adjudication failure.

TSAI-C BETA

Contract Parsing

Language Model

Converts raw text and tables to structured data capable of understanding legal and domain specific language nuances.

TSAI-POL PRE-ALPHA

Policy Document Parsing

Language Model

Catalogs drug-specific clinical and/or medical conditions capable of understanding domain-specific terminology and extracting comparative thresholds.

TSAI-AGENT PRE-ALPHA

Intelligent Query Engine

Language Model

Provides a natural language interface for interacting with complex datasets, enabling users to ask questions, generate analyses, and retrieve insights across contracts, claims, formulary data, and pricing models.

TSAI-GP BETA

Government Pricing

Calculation Engine

Calculates government pricing by processing transactional data, applying regulatory rules, and simulating pricing impacts across programs and time periods.

TSAI-MAP

Entity Resolution

Graph Intelligence Engine

Resolves relationships between payers, formularies, PBMs, plans, and contract entities to create a unified payer hierarchy.

TSAI-A²

Analytics Suite

Analytics Platform

Delivers dashboards and analytical models for monitoring market access performance, rebate leakage, contract effectiveness, and payer dynamics across claims, formulary, and pricing datasets.

[ case study ]

Challenge

Biopharmaceutical client hired an outsourcer to adjudicate PBM rebates
Outsourcer applied basic validations, leading the client to suspect rebate overpayments
3rd-party analysis confirmed over $2M in overpayments in 18 months
Issues included fragmented processes and lack of claim-level validation

Remediation

Identified root causes and recommended targeted improvements
Mapped findings to process and technical remediation
Configured an AI-powered rebate solution to spec
Guided sustainable solution adoption roadmap

Impact

Prevented millions in future rebate leakage via automation
Freed internal teams to focus on strategy, not manual analysis
Delivered insights that strengthened internal controls

Why our proprietary AI and deep analytics became essential

25%

Manual formulary parsing was labor-intensive and prone to error—overlooking up to 25% of ineligible claims.

3x

Operations and sales teams respond 3x faster with real-time visibility into root causes of leakage.

“The AI-driven approach helped us uncover systemic inefficiencies that had been costing us millions. The clarity and control we’ve gained are game-changers.”

Senior Director

Pricing & Contracting

[ founders ]

Aaron LevyFounder

Aaron Levy has over 20 years of experience helping more than 25 life science clients reduce revenue leakage, ensure compliance, and optimize commercial operations. He is a recognized expert in government pricing, market access operations, and leading revenue management platforms. Aaron has led complex implementations, large-scale transformations, and AI-driven innovation initiatives across the life sciences industry. Outside of work, he’s an avid traveler who has visited nearly 50 countries on 6 continents.

Hiram MacFounder

Hiram is a seasoned software and data architect with over 20 years of experience across hedge funds, retail, and restaurant technology. He has successfully led full-stack development and complex systems integration projects, even scaling a restaurant concept from idea to multiple locations. Hiram specializes in applying modern computational frameworks—such as machine learning and language models—to optimize pricing, streamline operations, and drive strategic growth. In addition to his work in technology, he's a musician who plays the violin, guitar, and piano.

Download Our Whitepaper

The Hidden Cost of Rebate Complexity — Discover how rebate complexity quietly erodes margins, and what leading life sciences companies are doing to fight back.

The Hidden Cost of Rebate Complexity

Thirdsight Whitepaper

Revenue management for life sciences reenvisioned

From complexity comes clarity

[ capability comparison ]

[ thirdsight ecosystem ]

[ thirdsight intelligence ]

[ product ]

Dashboards Are Just The Beginning

Revenue Leakage Root Cause Analysis

Comprehensive Analytics + Forecasting Capabilities

[ solutions ]

Mitigate Revenue Leakage

Maximize Contract Value

Power Smarter Forecasting

Streamline Decision-Making

Future Proof Commercial Ops

[ comparison to leading industry processor ]

Life Sciences Revenue Management Is Stuck in the Past

How we're using Artifical Intelligence to build a better product:

[ typical solution comparison ]

[ why us ]

Revenue leakage reduced

Contract performance made actionable

Gross To Net (GTN) strategy sharpened

Decisions accelerated

Revenue management re-envisioned

[ thirdsight AI modules ]

Formulary Parsing

Rebate Adjudication

Contract Parsing

Policy Document Parsing

Intelligent Query Engine

Government Pricing

Entity Resolution

Analytics Suite

[ competitive analysis ]

[ case study ]

Challenge

Remediation

Impact

Why our proprietary AI and deep analytics became essential

[ founders ]

Aaron LevyFounder

Hiram MacFounder

Download Our Whitepaper

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