Contract Clarity: Automating Pharmacy Contract Review

Challenge

Automation removed repetitive tasks, freeing compliance experts for higher-value work. Compliance reporting now runs almost instantly, accelerating response times. Positioned Milliman as an industry leader with a scalable, revenue-generating SaaS solution. Milliman’s pharmacy benefits team faced the burden of reviewing hundreds of pages of dense contracts to ensure compliance. The manual process of cross-referencing multiple agreements was slow, error-prone, and resource-intensive—limiting scalability across PBM networks and delaying the ability to respond to market demands.

Solution

Partnering with Fog Solutions, Milliman launched Contract Clarity, an AI-powered SaaS platform that streamlines pharmacy contract review. Using advanced AI and natural language processing, the solution deconstructs contracts, maps them to compliance frameworks, performs gap analysis, and enables secure Q&A across multi-document sets—all within a unified experience.

Results

Thousands of hours reclaimed

Automation removed repetitive tasks, freeing compliance experts for higher-value work.

Weeks-to-minutes reporting cycle

Compliance reporting now runs almost instantly, accelerating response times.

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