
Capability
Agreements define what was owed on specific dates. Payment systems almost never carry that history, so approval verifies arithmetic instead of entitlement.
The rate in force
Base agreement, schedules, amendments and side letters assembled into a single history with effective dates.
Each transaction is matched to the terms in force on the date of service, not the terms currently on file.
Every invoiced or paid amount is compared to what the governing terms actually authorised.
Negotiated allowances, exceptions and documented waivers are excluded before anything is quantified.
Clawback, audit, representment and offset provisions that were enforceable and never triggered.
Separated from total variance, because recoverable and wrong are not the same figure.
Why it is missed