Posts in Value Forward
Medical & Rx Audit Yields Big Savings for Employer Group
Medical & Rx Audit Yields Big Savings for Employer Group

At the recommendation of their consultant following concerns about the accuracy of claims adjudication, this employer group approached BMI to conduct an audit of medical and prescription drug claims paid by their third-party administrator. 

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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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Claims Audits Test Third-Party Administrator Effectiveness
Claims Audits Test Third-Party Administrator Effectiveness

Every few years this large group of public school districts relies on BMI to conduct a thorough review of medical claims paid by their third-party administrator to ensure the plan’s assets are being used appropriately for the sole benefit of plan participants. 

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Savings Follow Audit of Client’s Third-Party Administrator
Savings Follow Audit of Client’s Third-Party Administrator

BMI was engaged to audit this manufacturer’s new third-party administrator for both their medical and prescription drug plans to ensure benefits were being paid appropriately and to evaluate overall administrative effectiveness.

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Medical Claims Audit Yields Significant Cost Recovery
Medical Claims Audit Yields Significant Cost Recovery

This city government approached BMI to conduct a retrospective audit of medical claims following concerns about proper adjudication.

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Claims Audits – An Immediate and Future Cost Reduction Strategy
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