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medical benefits plan auditors

Benefit Plan Cost and Performance

Employers sponsor benefit plans to do the right thing for their employees and remain competitive in the recruiting marketplace. But the plans are expensive...

Beefing Up Health Plan Oversight

When large corporate or nonprofit employers sponsor their employee benefits, they put millions of dollars on the line. Healthcare plans are among the most...

The Claim Auditing Side of Health Plans

Employer-funded health plans have made news twice recently in the legal arena. Some sponsors have taken their claim administrators to court, and class action...

A Health Plan Cost Containment Opportunity

For every health plan, the eternal challenge is managing the never-ending rise in costs. As a result, plan sponsors should remember the value of medical...

Correct Health Plan Claim Processing Mistakes

Employer-funded health plans have much to gain by correcting payment errors (and recovering overpayments), and medical claim audits can help. The first step in...

Fix Mistakes in Health Plan Claim Payments

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...

Getting the Most from a Medical Claim Audit

With medical and prescription costs among the most expensive employee benefits, getting the most from a healthcare audit matters. It presents opportunities to recover overpayments and...

Medical Providers Gain from Claim Auditing

Healthcare billing is complex and detailed, which means providers can miss revenue when billable items are missing on invoices or coded incorrectly. Medical claim audits can...

A Highly Watched Case in Claim Processing

Large companies and nonprofit employers that self-fund their employee benefits put a lot on the line, especially with their medical and pharmacy claims. When...

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