BMI is now Lumelight. From dependent eligibility verification to healthcare claims audits and implementation audits, our proven approach to protecting plan integrity now strengthens Lumelight’s broader commitment to simplify benefits oversight and safeguard every dollar.
Our team of experts will analyze your medical and prescription drug plan to ensure accurate costs, reduce errors, and optimize effectiveness.
Whether you conduct a claims audit for fiduciary responsibility, compliance, or cost reduction, your entire company will benefit from the insights and cost savings.
Executives and HR experts commonly recommend that all sponsors of healthcare benefit plans periodically conduct an independent claims audit of their third-party claims administrators.
Why? Because every day, self-insured employers face the financial strain of providing medical and prescription drug coverage and a claims audit is one of the most effective cost containment options available.
Medical Claims Audit
Clinical and technical expertise on 120+ error type categories provide unparalleled checks against improper payments and administrative oversights.
Identifying payment errors
Clarifying the plan sponsor’s benefit intent
Fulfilling due diligence and fiduciary responsibility
Creating opportunities for future cost savings
Prescription Drug Claims Audit
Clinical and technical logic utilize nationally recognized drug databases to deliver transparency into payment errors and administrative oversights.
Prescription Drug Claims Audit
Contractual Financial Guarantee Audit
Prescription Drug Rebate Audit
AUDiT iQ is our signature healthcare claims auditing software designed to efficiently and effectively identify incorrect payments so employers can take control of their healthcare.
This software is used nationally by insurance carriers, third-party administrators, employers, self-paying employers, and employee benefit consultants and brokers.
