Posts in CPT code
Claims Audit Confirms COVID-19 Claim Adjudication Suspicions
Claims Audit Confirms COVID-19 Claim Adjudication Suspicions

An engineering firm with over 7,000 employees engaged BMI to conduct of medical claims adjudicated by their third-party administrator (“TPA”) after suspecting some COVID-19 claim related expenses were incorrect.

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Move to Self-Insured Medical Plan Prompts Beneficial Audit
Move to Self-Insured Medical Plan Prompts Beneficial Audit

A nationally recognized mobile application developer engaged BMI to audit medical claims paid by their third-party administrator (“TPA”) after moving to self-insured and making several plan design changes.

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Comprehensive Audit of Medical Claims Uncovers Errors
Comprehensive Audit of Medical Claims Uncovers Errors

In support of due diligence efforts, a construction industry health and welfare fund approached BMI to conduct a comprehensive audit of 24 months of medical claims paid by their third-party administrator. 

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