Vol. 01 · No. 04 · April 2026AI-native · Benefits · Audit

Your carrier is over­billing you.

Drop any benefits invoice. A language model reads every line, reconciles against your enrollment of record, and drafts the dispute — narrated by the platform, settled in dollars, not opinions.

Beta · early access · stats live with launch traffic
INVOICE · 2026-04 · AETNAMEMBERPREMIUM $ABBOTT, S.612.50BAKER, M.1,842.00CHEN, L.1,842.00wrong tierDIAZ, R.1,398.00GARCIA, M.412.00rate offSMITH, J.412.08not enrolledDOE, J.318.12not enrolledNGUYEN, T.298.00PATEL, R.612.50ROSS, A.42.00TANAKA, K.144.00WALLACE, J.12.00TOTAL BILLED9,575.20RECOVERABLE4,645.20
§ Watch · 90 secondsNarrated by the platform
Aetna · April 2026 · 312 livesPreview
Aetna_April_2026_INV.pdf312 linesparsing
Carrier fingerprintAetna · format Amatched
Coverage period2026-04-01 → 2026-04-30ok

See an invoice read itself.

Click play. The platform narrates the full lifecycle — ingest, match, finding, dispute, recovery — while the panel on the left renders the actual data flow.

  1. 01A new Aetna invoice arrives. PDF, 312 lines.
  2. 02Match against your enrollment census.
  3. 03Variance surfaced in 47 seconds.
  4. 04Draft dispute. Tone tuned per carrier.
  5. 05Credit booked to a tamper-evident ledger.
Tap play to begin
AetnaUnitedHealthcareBlue Cross Blue ShieldCignaGuardianMetLifePrincipalSun LifeHumanaAnthemKaiserDelta DentalAetnaUnitedHealthcareBlue Cross Blue ShieldCignaGuardianMetLifePrincipalSun LifeHumanaAnthemKaiserDelta Dental
The finding that funds this
4.5–5.5%
— industry-typical overbill range cited by AdminaHealth, Tabulera, and benefits-consulting publications. Platform-observed figures replace this band once we cross 25 reconciliations.

Every month, benefits invoices arrive with ghost employees, terminated members still billed, tier drift, and rate variance. It adds up to roughly a nickel on every dollar of premium — almost nobody is looking for it.

$60,000
Avg yr recovery · 100 EE
60 sec
Time to reconcile
14 days
To go live
§ 01 · Method

Three movements, one ledger.

i.

Ingest any invoice, any format.

PDF, CSV, XLSX, EDI 820. Drop it in the dropzone — our LLM-native parser fingerprints the carrier on the first invoice, no template setup required. New carriers work day one.

ii.

Match against your source of truth.

Upload an enrollment census from Employee Navigator, Ease, bswift, or any HRIS. Fuzzy matcher handles renames, typos, and SSN rotations. Every member, every tier, every coverage period — scored and surfaced by dollars at risk.

ENROLLMENTINVOICE
iii.

Agent drafts the dispute. You approve.

Discrepancy-category templates, tone tuned per carrier, SLA tracked with auto-escalation on breach. Credit booked to a chain-hashed ledger — and exportable to Form 5500 Schedule H.

$
§ 02 · Capabilities

Eight things no spreadsheet can do.

LLM ingestion

Any PDF, CSV, XLSX, EDI 820. No carrier templates.

Voice command

Talk to your billing data. Ask Ben anything in /app.

Carrier profiler

Auto-fingerprints carriers on first invoice. Format A vs B vs C.

Variance engine

10+ discrepancy categories, rule-explainable, line-level cited.

Dispute drafter

Tone-tuned per carrier. Human approves before send.

Reply intent

Carrier reply lands → Claude classifies (paid · denied · questioned).

Tamper-evident ledger

Chain-hashed credits. Verified nightly. Litigation-grade audit trail.

Schedule H ready

Form 5500 export in one click. Multi-tenant by default.

§ 03 · The model layer

What actually runs underneath.

Most billing-recon products are SQL queries with a logo. Velora is an ensemble of language models, retrieval, and rule libraries, sequenced behind one ledger.

LLM ingestion
Reducto.ai + Claude on every PDF, CSV, XLSX, EDI 820. No carrier templates.
Carrier profiler
Auto-fingerprints carriers on first invoice. Format A vs Format B vs Format C.
Variance engine
10+ discrepancy categories. Rule-explainable. Each finding cites the line and the rule.
Dispute agent
Drafts carrier letter. Classifies the reply's intent. Iterates on rebuttable denials — 3-round cap, then hold.

Human-in-the-loop on every initial dispute. The agentic loop iterates on rebuttable carrier denials — capped at three rounds before a hold.

§ 04 · Product

A dossier, not a dashboard.

Aetna · April 2026 · 312 lives96% parse confidence
Recoverable
$4,645
At risk
$5,206
Findings
17
Member
Finding
Variance
Severity
SMITH, JOHN
Ghost employee · not enrolled
+$412.08
critical
DOE, JANE
Termed 2026-02-15 · still billed
+$318.12
critical
CHEN, LILY
Billed FAM · enrolled EE+SP
+$738.00
critical
GARCIA, M.
Rate $412 vs $327.50
+$84.50
high
NGUYEN, T.
Enrolled · not invoiced
−$298.00
high
WALLACE, J.
Coverage period drift
+$12.00
med
§ 04 · Who it's for

Built for the three sides of the bill.

/ app · OverviewLive
AI Brief · TodayRecovered $4,645 in the last 7 days across 6 audits. Two disputes are past SLA — review the UHC reply first.
Recovered$84,210
At risk$12,118
Open disputes9
Audits MTD42
  • Drop the invoice. The variance engine reads, scores, and surfaces every dollar at risk.
  • Approve a dispute draft in one click. The agent sends and tracks the carrier reply.
  • Recoveries auto-post to a tamper-evident ledger; Schedule H exports on demand.
§ 05 · Versus

The incumbents sell you an implementation. We sell you a refund.

Yesterday

The old way

  • 8–12 week sales and procurement cycle
  • PhD-only pricing, quoted by carrier header count
  • EDI-only ingestion — PDFs get re-keyed by a human
  • Discrepancy report lands in a PDF; you email the carrier yourself
  • One audit trail, zero portability
  • UI built in 2014, feels like it
Velora · today

What ships now

  • Self-serve — audit your first invoice in 60 seconds
  • $0.75 PEPM to start. Free under 50 employees.
  • Any format: PDF, CSV, XLSX, EDI 820. LLM normalized.
  • Voice-narrated demo and AskBen voice command in-app
  • Dispute agent drafts; you approve. Agentic loop iterates rebuttals on denials.
  • Tamper-evident ledger, exportable to Schedule H
Velora · 2026 H2

What's next

  • Auto-rebuttal arm: agent replies to carrier denials without operator
  • Native Employee Navigator + Workday connectors
  • ACH recovery rails via Modern Treasury
  • Inbound carrier portal: you stop emailing PDFs
  • HITRUST r2 certification
  • Predictive: forecast next month's overbill before the invoice arrives
§ 06 · Operators

They’ve already found theirs.

We were losing six figures a year to an invoice nobody had the bandwidth to read. Velora read it in a minute.
CFO · 340-EE PE portfolio company
I uploaded one bswift census and one Aetna PDF on a Tuesday. By Wednesday we had a $4,600 credit on the books.
Director of benefits · 1,200-life manufacturer
Every other vendor sells you an implementation. These people sold me a refund the same day I signed up.
Principal · regional consulting BUA
§ 07 · Questions

The obvious ones, answered.

No. Reducto + Claude do the read, but the variance engine is a rule library across 10+ discrepancy categories — ghost employees, terminations, tier drift, rate variance, retro adjustments, COBRA, coverage windows. Each finding cites a line and a rule.

Sixty seconds for the first audit. Drop one invoice, drop one census export, see the dossier. No template setup, no implementation fee.

Any carrier. We don't pre-template — the LLM fingerprints the format on the first invoice and reuses it. We've seen Aetna, UHC, BCBS, Cigna, Guardian, MetLife, Principal, Sun Life, Humana, Anthem, Kaiser, and Delta Dental in production.

Postgres on Neon (us-east-1), encrypted at rest with AES-256-GCM via @velora/crypto. PII fields are field-level encrypted; audit chain is verified nightly. HITRUST r2 controls track is in progress. BAA available on request.

Yes — and it iterates. A human approves the first send. The agent watches the carrier reply, classifies its intent, and on rebuttable denials it auto-drafts a follow-up that cites the contradicting facts from our recon engine. Capped at three rounds; round four forces a human hold so the loop never goes infinite.

$0.75 PEPM to start, free under 50 EE. Mid-market and enterprise tiers add SSO, SAML, RBAC, custom retention, and a dedicated environment. PDF anywhere on the pricing page.

§ 08 · Integrations

Works with what you already have.

Live today
CSV / XLSX import
Any HRIS export
EDI 820 parser
Carrier inbound
QuickBooks Online
GL CSV export
NetSuite
Journal entries
Stripe
Subscription billing
Resend
Dispute email
Webhooks
12 signed events
REST API + keys
Programmatic access
On the roadmap
Employee Navigator
BenAdmin · API
Workday
HRIS · API
ADP / Gusto
Payroll · API
Finch / Noyo
Unified · API

We'd rather under-promise than oversell. Today, every HRIS works via CSV / XLSX import. Native API connectors ship through 2026.

Let's find the nickel
on every dollar.

No credit card. No call. 60 seconds.