RxTestify was created by healthcare technologists who have lived the complexity of pharmacy benefit compliance — and decided to build a smarter way through it.
Our Story
The NCPDP F6 mandate isn't just a format change — it represents the most significant shift in pharmacy claims processing in over two decades. When we looked at how health plans, PBMs, and pharmacy systems were preparing for this transition, we saw the same story everywhere: manual testing, spreadsheet-driven validation, and months of costly implementation cycles. We built RxTestify to change that.
Pharmacy benefit teams were spending weeks manually building test claim scenarios and validating F6 claim formats against benefit documents. A process that should take hours was taking months — and still producing errors at go-live.
RxTestify uses Claude AI to extract benefit rules from any plan document, then automatically generates NCPDP F6-compliant test claims that cover the full spectrum of real-world scenarios — copay tiers, deductibles, PA requirements, and more.
The HHS Final Rule mandates NCPDP F6 compliance for all covered plans. With the transition window open and the final deadline approaching, organizations that start testing now will be the ones who go live without disruption.
Health plans, PBMs, pharmacy benefit administrators, and QA teams preparing for F6 adoption. If you're responsible for pharmacy claim accuracy, we built this for you.
Leadership
Gourav brings deep expertise at the intersection of pharmacy operations and enterprise technology. Having worked extensively with health plans and PBMs on claims infrastructure projects, he saw firsthand the friction and risk that comes with every major NCPDP standard transition. Frustrated by the lack of purpose-built tooling for compliance testing, he founded RxTestify to give pharmacy benefit teams the AI-powered solution they deserve.
Sunil is the technical mind behind RxTestify's AI-driven test suite generation engine. With a background spanning healthcare software development and AI systems integration, he architected the platform from the ground up — building the document parsing pipeline, the Claude-powered benefit extraction engine, and the NCPDP F6 claim generator that sits at the heart of RxTestify. He believes that well-designed automation should make compliance feel less like a burden and more like a competitive advantage.
Governance
20+ years in pharmacy benefit management, NCPDP standards governance, and PBM technology strategy. Led D.0 implementation programs for large national plans.
Investor and operator with deep roots in pharmacy IT infrastructure, health plan compliance, and enterprise software go-to-market strategy.
Expert in healthcare digital transformation, regulatory compliance technology, and AI governance in clinical and pharmacy settings.
What Drives Us
Every feature we build starts with the question: does this help pharmacy teams meet the standard accurately and confidently?
We design for the people doing the actual compliance work — not just the executives who approve the project.
Healthcare data is sensitive. We build with PHI protection, Firebase security rules, and zero-data-retention AI policies from day one.
Compliance deadlines don't move. We help teams move faster — without cutting corners on accuracy or auditability.
Join pharmacy benefit teams across the country using RxTestify to accelerate their NCPDP F6 testing and validation workflows.