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 a multi-employer health plan used a dependent eligibility audit by BMI Audit Services to save $2.42 million in just one year. Learn the process, results, and benefits of auditing dependent health coverage.
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.
