Posts in internal audit department
Pre-Implementation Audit Uncovers Hidden Discrepancies
Pre-Implementation Audit Uncovers Hidden Discrepancies

A client within the financial services industry approached BMI to conduct a pre-implementation audit after moving to a new carrier. Their primary objective was to verify whether the carrier’s system was set up appropriately to administrate their claims according to plan benefits.

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Audit Finding of the M..., BMI Audit Services, claims administrator, cost-containment solution, health care benefits a..., health care claims, health plan audit, internal audit department, Medical Claims Audits, payment errors, pre-implementation auditRobert Temples
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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Audit Finding of the M..., AUDiT iQ, audit samples, BMI Audit Services, claim audit, claims administrator, claims audit, claims data, cost-containment solution, ERISA, health care benefits a..., health care claims, health plan audit, internal audit department, medical and prescripti..., Medical Claims Audits, payment errors, prior authorization, retrospective audit, Sarbanes-Oxley, Self-Insurance Programs, Third-Party Administrator, TPA audit, Value ForwardRob Temples