The Gap
Contracts evolve.
Fee schedules change.
Configuration adapts...imperfectly.
The result shows up downstream:
- Repeat adjustments and rework
- High-cost appeals and call center disputes
- Provider and member friction
The same issues resurface. Root causes remain buried.
What Manatii Does
We transform contracts and reimbursement documents into structured, queryable rules.
We continuously reconcile those rules against system configuration and claim outcomes.
This enables:
- Systemic detection of misalignment, with claims engine fixes
- Cross-contract rule visibility
- Root-cause clarity on repeat rework
- Per-claim decision cards showing how a claim should have paid, to speed up the work of anyone who needs to understand and explain a claim decision
How We Fit
Manatii sits alongside your existing claims engine.
We do not replace it. We make it more transparent, more accountable, and easier to manage at scale.