Four layers. One pipeline. One audit chain.
Rendum's architecture is designed for auditability, reliability, and determinism across every regulated billing context. The same pipeline resolves Medicare Advantage supplemental benefit rosters today and is built to absorb Managed Medicaid managed care rosters, Centers for Medicare and Medicaid Services Monthly Membership Reports, and capitated provider attribution lists.
Ingestion
Automated file intake from every payer, plan, and state program. The same ingestion layer handles private payer eligibility files, Managed Medicaid Managed Care Organization rosters, Centers for Medicare and Medicaid Services payment files, and state Medicaid waiver participant lists. No rip-and-replace when a new payer or program is added.
UHC
03/08/2023 · E
effective_date
2023-03-08
✓Aetna
20240921 · 01
effective_date
2024-09-21
✓Humana
2-4-25 · ENROLL
effective_date
2025-02-04
✓Normalize
Normalization
Transform payer-specific, program-specific, and state-specific roster formats into one canonical eligibility representation. The downstream rules engine works on a single schema regardless of source.
Rendumizer
Reviewed rules. Reproducible decisions. Full audit chain.
Rendum uses AI where AI is good — extracting rules from payer contracts and normalizing files from every vendor format. The Rendumizer applies reviewed, versioned rules to those normalized inputs. The same eligibility events always produce the same billable days. Every decision traces back to a specific contract clause, a named reviewer who signed it off, and the rule version that was active at the time.
Output
Deliver the Rendumized Roster to your billing system, your care management platform, your payer reconciliation workflow, and your audit evidence store. Every record carries the rule version, the clause citation, and the named reviewer attestation that produced it.
End-to-End Pipeline Flow
See Rendum on your payer data
Bring your payer contracts and a sample roster. We'll configure the pipeline to your formats and show you a verified billing roster built from your own data.