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Job 02 · Claims and pricing

// Food distributors · Billbacks

Deviated pricing billbacks, drafted from your invoices for your claims analyst.

You sold a GPO member, a contract feeder's account or a chain at the manufacturer's deviated cost, below what you paid, and the gap comes back only when you claim it. In a free AI proof of concept, AI drafts the billbacks for 20 to 30 contract sales your team already claimed, each line tied to its agreement and an eligible operator. Your reviewer, whoever knows these agreements best, holds each draft against the claim you sent and the money that came back.

Book a proof-of-concept call30 minutes with Rob
Billbacks redone
20 to 30 you already sent
Filed or uploaded
Nothing
Before any file
An NDA

// The one job

Contract sales sorted out and drafted as billbacks

Each period, someone on your claims desk sorts the contract sales out of thousands of invoice lines. For each one they find the agreement, check that the kitchen was covered on that date, figure the per-case or per-pound gap between your cost and the deviated cost, and assemble the claim in that manufacturer's format with the sales detail attached.

In the proof of concept the same sorting happens on copies. AI drafts every billback line with the agreement, kitchen, invoice, item, cases or pounds and amount, and notes which proof is missing. The draft stays on a review sheet for your analyst.

Sales invoiceTo a contract account
Operator
Invoice date
Ship-to
Contract
Item no.Cases / lbSell price
Made-up example invoice
Checked against the deal
and the roster
Billback lineDraft
Agreement
Covered since
Mfr item code
Proof
Mfr itemPaid vs deviatedAmount due
Made-up example claim

// The hard parts

Where a billback loses money

Your receiving records can't show who a case was for. You buy a manufacturer's product in bulk for every account, so the manufacturer can't see which cases went to a contract customer. A 2006 federal court memorandum in Feesers v. Michael Foods notes that for this reason Sysco had to give Michael Foods proof of sales identifying what it sold to Sodexho (now Sodexo) accounts before invoicing the difference. So a billback is built from your sales invoices, not your receipts.

The operator has to be on the agreement that day. The same record describes three ways a kitchen buys: it runs its own food service, hands it to a management company, or stays independent and buys through a GPO whose members place their own orders and get the terms it negotiated. It named Entegra as Sodexho's GPO. A billback is owed only for locations the agreement covers, inside its dates. A hospital that joined the group late, a school that left a management contract, or a restaurant that only shares a name with a chain is a line the manufacturer can refuse. The draft checks every line against the roster or ship-to list you send.

The price math has two halves. A 2011 Court of Federal Claims opinion in a bid protest brought by U.S. Foodservice set out the trade's basic model: a delivered price, built from what your distribution center paid plus inbound freight, plus a distribution price, either a percentage markup or a fixed amount per case. A deviation swaps the agreed price in for the delivered price. So the draft checks both halves: the claim is the gap between the list cost you paid and the deviated cost on the invoice date, and the operator's invoice carried the deviated cost plus your fee. When an agreement sets the deviation per pound on a random-weight item, the claim uses the invoiced weight, not the case count.

Not every dollar from a manufacturer is a billback. The 2011 opinion lists earned income on its own: promotional allowances, cash discounts, prompt pay discounts, growth programs and freight allowances. The 2006 memorandum adds that rebates a management company negotiates are paid to it directly, not through the distributor, and that marketing allowances are rarely passed on to customers. The draft keeps deviation claims apart from all of that. Whether a billback starts from list cost or from an invoice that already carried an off-invoice allowance depends on the agreement, so it goes into the success criteria first.

Schools add a second kind of billback. When a school district's USDA Foods are processed into finished items, one approved way to pass their value through is net off invoice. Oregon's Department of Education describes it: the distributor invoices the district at the commercial price less the value of the USDA Foods in the item, reports the sale to the processor, whose tracking system draws down the district's pounds, and bills the processor back for that value. Your reviewer, usually the claims or rebate analyst, scores each draft against the claim you filed and the payment or short pay that came back.

// What you send

What your claims desk sends

Copies only
No portal access
01

20 to 30 filed billbacks

Claims your team already sent, each with the manufacturer's payment, short pay or rejection. Mix GPO, management company and chain agreements, and school lines if you sell them.

02

The agreements behind them

Deviation letters, contract price files or emails for those claims, showing the items, deviated costs, effective dates and the operators or ship-tos covered.

03

Sales and cost exports

Invoice lines to those accounts for the same period, with weights on random-weight items, and what you paid the manufacturer for the same items.

04

Rosters and claim rules, after an NDA

Member or location lists from each buying group, and each manufacturer's claim format and filing window. We never log in to a portal. If files must stay in-house, we build look-alikes with your reviewer.

// Before it starts

Decided before the first agreement moves

The owner fixes these with us before any claim file changes hands.

Billback test termsOwner signs off
Your reviewer
Chosen by the owner, often whoever files billbacks today
Success criteria
Agreed in writing: who was eligible, what was owed, what proof is missing
Sample
Your reviewer's pick, with refused and short-paid billbacks in it
Never in scope
Sending claims, portal work, deductions, manufacturer contact
Price
A range for the live billback job
NDA
In place before rosters, agreements or costs move

// How it's judged

Your filed billbacks, redone and compared

Claim by claim
Paid, short or refused
On the same 20 to 30 claimsWhat your team filedThe AI draft
Which invoice lines earned a billback and which did notScored on your claimsScored on your claims
Operator covered by the agreement on the invoice dateScored on your claimsScored on your claims
Your cost and the deviated cost for that dateScored on your claimsScored on your claims
Cases or invoiced pounds, as the agreement counts themScored on your claimsScored on your claims
The amount owed, line by lineScored on your claimsScored on your claims
Lines claimed as deviated but billed at your normal price, flaggedScored on your claimsScored on your claims
USDA Foods lines billed to a processor, kept apartScored on your claimsScored on your claims
Proof listed as present or missingScored on your claimsScored on your claims
Nothing filled in yet. These cells stay blank until your own billbacks have been through the test.Your reviewer's marks on each line settle it.

// After a yes

A live month, every billback approved

A yes from your reviewer, judged against the success criteria, moves the same work onto new contract sales for about 30 days.

Your analyst reviews every drafted billback and alone decides what gets filed. Claims, portals and deductions stay in your team's hands.

You see the fixed price for that month before signing, and whatever follows is chosen later, on its own terms.

// What could come next

Jobs that could follow, ranked

Possibilities to test
One job at a time
  1. 01

    Short-pay follow-up

    Each remittance from a manufacturer or processor set against the billback lines it paid, with the unpaid ones written up for your analyst to chase.

    Next
  2. 02

    GPO roster changes

    Member adds and drops from each buying group compared with your ship-to file, so contract pricing starts and stops on the right dates.

    Then
  3. 03

    Contract price updates

    Deviation letters for the coming period read against each account's loaded pricing, with every cost that would change listed for your pricing team.

    After that
  4. 04

    Orders from texts and voicemails

    Messages to your DSRs and order line drafted as sales orders against each customer's order guide.

    Also open

// One hard limit

It never files a billback or contacts a manufacturer.

Drafts and a list of missing proof go onto a review sheet, and that is all the test produces. No claim is submitted, no portal opened, no file sent to a manufacturer, processor or buying group, no deduction taken and no one written to. Even in a live run, every billback goes out only after your analyst approves it and files it.

Priced per job: you get a range before the proof of concept and a fixed price before you sign.

The range depends on your monthly billback lines, the number of manufacturers and buying groups behind them, and the formats they accept.

// Questions

What claims analysts at food distributors ask

Does it send the claims?
No. Your analyst reads each drafted billback and decides whether it goes. Nothing is submitted to a manufacturer, processor or buying group, and no deduction is taken, during the test or after it.
Deviation letters reach us in every format. Does that matter?
No. Send whatever you have: letters, spreadsheets, emails, portal downloads. The draft quotes the agreement behind each line, with its deviated cost, dates and covered locations, so your reviewer can see where every number came from.
We sell to school districts with USDA Foods. Can those lines be in the test?
Yes. Net off invoice lines billed back to processors can go in the sample beside manufacturer deviations. They are scored against the billbacks you filed and what each processor paid.
Does the claim include our distribution fee?
Not under the model the trade usually describes: the billback recovers the gap between your cost and the deviated cost, and your fee is what the operator pays on top. Your own agreements go into the success criteria, and the draft checks both the claim and the operator's invoice against them.
Rob Eason

Rob Eason, founder

// Book a call with Rob

Bring the claims that came back short.

A 30-minute call with Rob covers three things: who you are and what you do there, that billbacks are the job, and about how many lines you claim in a typical month. Please keep agreements, rosters and cost data until the NDA is in place.

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