Industry Thoughts

Evaluating Claims Audit Vendors

Shopping for a claims audit is difficult, given the limited exposure to claims audits topics for most employers. Some common issues to pursue in evaluating proposals include: What is the scope of your auditing process? Claim audit firms couch their...
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Why Do I Need a Claims Audit?

The healthcare industry is a sloppy one and costs are constantly on the rise. Industry studies show that overpayments are 1-3% of total expenses, not including fraud. Self-insured employer healthcare plans are complicated. They often include highly customized benefits. Many...
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