AI that does TPA work.
Built by people who've done TPA work.
Pepcus leadership ran technology inside a national independent TPA — claims, eligibility, carrier filings, member services. Now we build AI products that take the spreadsheet work out of benefits administration, with a human approving every output.
The Problem
Every questionnaire, RFP, and stop-loss filing is the same job done by hand, again: hunt the answer, re-key the claim, build another spreadsheet, hope the deadline holds. The knowledge lives in two people's heads, and the deadlines live on their calendars.
Generic AI can't do this work — it doesn't know your approved answers, your carriers' rules, or when it must say “I don't know.” Ours does, because it refuses to answer what it can't prove.
AI Products for Benefits Administrators
Pepcus RFP Assistant
Answers security questionnaires and RFPs from your approved answer library — and only from it. Every answer carries its source. Anything not in the library is flagged "Not found," never invented. Finished responses land as drafts for your review; the Assistant never sends anything.
Stop-Loss Agent
An agent that watches claims against each carrier's own triggers and clocks, drafts early notices, assembles filing packages, and warns in dollars — "$41,200 at risk, paid window closes in 19 days."
Built for zero-tolerance environments.
Benefits administration cannot tolerate hallucinations, silent errors, or data leakage. Every product we build embeds strict guardrails by default.
Human Approval
Human approval before anything is final. No output is dispatched without an operator's sign-off.
Draft-Never-Send
Outputs land directly in your internal workflow as drafts for review; the software never sends anything directly.
Source on Every Answer
Every generated response carries exact citation provenance back to your approved answer library.
Visible Refusal
Anything not verifiable in the approved library is explicitly flagged "Not found" — never invented.
Audit Log
Full traceability and change logs for compliance reviews, security diligence, and SOC 2 audits.
Self-Hosted / Local LLMs
HIPAA & SOC2-sensitive workloads deployed on self-hosted or local LLMs inside your secured environment.
Zero Model Training
Your claims data, answer libraries, and documents never train anyone's foundation model.
Diligence-Grade Code
Engineered by teams that have successfully passed a buy-side M&A security audit in health and benefits.
Who's Behind It
Pepcus is an Austin-based engineering firm led by former CTOs of HR tech and benefits platforms — including the TPA side of the house. 20+ years, 5 exits, 100+ engineers, one US contract.
See it run on your questionnaires.
30 minutes, your documents, no deck.
Request Received
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