Posts in Medical Claims Audits
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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