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 relyi...
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 clai...
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 audi...