Built by People Who Know Pharmacy

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

Why We Built RxTestify

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.

🏥 The Problem We Saw

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.

🤖 The Solution We Built

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 Deadline That Matters

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.

🎯 Who We Serve

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.

Meet the Founders

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Gourav Diwan
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Founder & CEO
Gourav Diwan
Pharmacy Benefit Technologist & Product Strategist

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.

  • Years of experience in pharmacy benefit management and claims systems
  • Deep expertise in NCPDP standards and pharmacy adjudication workflows
  • Track record of shipping healthcare technology products from concept to production
  • Passionate about reducing compliance risk for health plans and PBMs
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Sunil Tariboina
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Co-Founder & CTO
Sunil Tariboina
Healthcare Software Engineer & AI Systems Architect

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.

  • Architect of RxTestify's AI benefit extraction and F6 claim generation engine
  • Experience building scalable healthcare data platforms on cloud infrastructure
  • Expert in integrating large language models into production healthcare workflows
  • Focused on NCPDP standard compliance, system interoperability, and QA automation

Board of Directors

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Sarah Chen
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Sarah Chen, Ph.D.

Board Director
Former SVP, Pharmacy Technology
Blue Cross Blue Shield

20+ years in pharmacy benefit management, NCPDP standards governance, and PBM technology strategy. Led D.0 implementation programs for large national plans.

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Marcus J. Williams
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Marcus J. Williams

Board Director
Managing Partner, HealthTech Ventures
Former CIO, Navitus Health Solutions

Investor and operator with deep roots in pharmacy IT infrastructure, health plan compliance, and enterprise software go-to-market strategy.

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Dr. Priya Patel
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Dr. Priya Patel

Board Director
Chief Digital Officer, Ascend Health Systems
Former FDA Digital Health Advisor

Expert in healthcare digital transformation, regulatory compliance technology, and AI governance in clinical and pharmacy settings.

Our Values

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Compliance First

Every feature we build starts with the question: does this help pharmacy teams meet the standard accurately and confidently?

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Built for Practitioners

We design for the people doing the actual compliance work — not just the executives who approve the project.

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Security by Design

Healthcare data is sensitive. We build with PHI protection, Firebase security rules, and zero-data-retention AI policies from day one.

Speed Without Compromise

Compliance deadlines don't move. We help teams move faster — without cutting corners on accuracy or auditability.

Ready to simplify your F6 compliance?

Join pharmacy benefit teams across the country using RxTestify to accelerate their NCPDP F6 testing and validation workflows.

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