With the continuous rise of healthcare costs, self-funded medical and prescription plans increasingly seek ways to manage and control expenses. Running a medical and Rx audit to doublecheck...
All well-functioning and optimized medical and pharmacy plans need a healthcare audit routinely to check their claim payment accuracy. With outside claims processors handling administration,...
It's a meaningful event when large employer-funded benefit plans change claim administrators. Since medical and pharmacy claims are the most significant expenses, healthcare auditing companies...
Large employers self-funding their benefit plans do so in an era of never-ending change. It affects health plans most significantly, and healthcare auditing companies are essential to oversight...
Keeping health plan payments on track with medical claim auditing oversight is an increasingly popular strategy – and for many good reasons. With nearly all claims paid by third parties today on...
In an era of inflation and relentlessly rising prices, running an Rx audit to double-check claim payments makes excellent sense. It's a tool often used by employer-funded prescription plans...
If you ask any large employer sponsoring a health plan about claim payment errors, they would prefer zero. But even the most advanced processing systems can miss things occasionally. Medical...
Working with medical claim auditors is enlightening for any medium or large-size employer-funded health plan. One of the most interesting comparisons is to look at plan performance before an...
