Posts in plan eligibility
Combined Savings: Audit of Dependent Eligibility & Spousal Surcharge

A small employer group with 259 employees covering 600 dependents contacted BMI to: 1) verify the eligibility of all dependents and 2) determine whether or not enrolled spouses should be paying a spousal surcharge per the plan.

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Dependent Verification Saves Group Over 2 Million

This city and county government approached BMI to help confirm if health care plan dollars were being spent appropriately by verifying the eligibility of 7,596 enrolled dependents. 

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Dependent Verification Equates to Real Savings

To ease the burden of rising health care costs and reduce risk, this manufacturer enlisted BMI’s assistance with dependent verification of  1,020 enrolled dependents on the health plan. 

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Savings Follow Verification of Spousal Eligibility

To ease the burden of rising health care costs, this manufacturer enlisted BMI’s assistance to verify if 344 enrolled spouses were eligible under their employer’s health plan and therefore ineligible on the manufacturer’s plan. The employer also elected to verify the eligibility of 623 dependent children enrolled on the plan. 

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Claims Audits – An Immediate and Future Cost Reduction Strategy