Since 2011, our Audit Finding of the Month provides insights into what drives BMI to help organizations uncover who and what their healthcare dollars are being spent on.
Discover how BMI's tailored dependent eligibility verification process helped clients save $791,000 by removing ineligible dependents. Learn about the audit findings, streamlined solutions, and measurable ROI for ongoing plan management.
A labor union engaged BMI to verify the eligibility of 1,047 health plan dependents, ensuring compliance and reducing costs. BMI provided bilingual support, managed documentation securely, and identified 51 ineligible dependents, removing them from coverage. The audit led to $357,000 in annual savings and achieved a 2,356% ROI by eliminating ineligible enrollees.
A consortium of regional school districts working together to save taxpayer dollars engaged BMI to verify the eligibility of 3,735 total spouses and children on their health plans. Plan eligibility rules contained a “working spouse” provision which meant any of the 1,207 spouses who had other coverage available to them through employment were ineligible.
The school district realized that they do not request proof from employees to confirm dependent eligibility during enrollment, which poses a potential risk. As a result, BMI was engaged to verify the eligibility of 1,599 dependents on their medical plans before the next open enrollment.
An organization in the banking and financial industry asked BMI to verify the eligibility for 1,181 enrolled dependents on their medical plans. Previous checks by BMI in 2016 and 2019 resulted in the removal of 71 ineligible dependents, saving over $250,000.
A city government was exploring several options to keep healthcare benefit costs from increasingly unnecessarily and engaged BMI to verify the eligibility of 1,495 dependents enrolled in the group’s health plans.
A small manufacturer and exporter of recycled materials contacted BMI to verify the eligibility of 84 enrolled dependents on the group’s health plans.
This transportation and logistics company periodically engages with BMI for dependent eligibility verification. Their previous audit was completed in 2017 and resulted in 180 dependents removed which equated to $630,000 in annual savings.
This most recent audit included the verification of 1,390 enrolled dependents to ensure there were no changes in eligibility and that all newly enrolled dependents were eligible for benefits.
