Did You Know?

Many insurers and administrators discourage or even prohibit audits where the auditor’s fees are contingent upon error recoveries.

A cooperative effort between the client, auditor, and administrator maximizes the client’s ultimate “return on investment”.

Not all claims audits are performed objectively.

We believe that audits should be conducted by an independent auditor with no revenue bias.

As a sponsor of a self-funded health care plan, you may have a fiduciary responsibility to plan participants.

Many plan sponsors protect health care benefit assets by engaging a reputable, qualified claims auditor to reinforce their fiduciary obligations and/or their Sarbanes-Oxley compliance programs.