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- Find Out More About Claim Auditing's ValueCost and care management are dually significant priorities for self-funded medical and pharmacy plans. There are thousands of variables to consider for everyone involved in their management. That's why reviewing claims with a medical and RX audit is crucial. Auditors equipped with advanced software can provide an independent analysis. It's excellent oversight for third-party claim...0 Comments 0 SharesPlease log in to like, share and comment!
- Medical Claim Payment Disputes Land in CourtThe big money but generally quiet world of medical claim payments is suddenly making news as large self-funded plans are suing their claim administrators – which are well-known health insurers. It is expected to encourage more self-funded plans to run a healthcare audit to double-check their payments. Generally speaking, in business, it is a peculiar scenario when one company is hired to...0 Comments 0 Shares
- How to Make Employer Medical Plans Work BetterOffering employees medical coverage is often the most fundamental part of benefits packages. As a result, medical claims auditing has a significant role in managing costs and serving members well. There's no disputing that third-party administrators pay claims highly accurately today, but there's always room for improvement. Claim auditors are independent outside firms with proprietary systems...0 Comments 0 Shares
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