Medical + Rx Claims Audits
Our team of experts will analyze your medical and prescription drug plan to ensure accurate costs, reduce errors, and optimize effectiveness.
Don’t leave money on the table
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 125+ error type categories provide unparalleled checks against improper payments and administrative oversights.
Benefits Include
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.
Solutions Include
Prescription Drug Claims Audit
Contractual Financial Guarantee Audit
Prescription Drug Rebate Audit
Listen to how employers can reduce the fraud, waste and abuse found in health care plans.
The heart of it all
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.
Contact us for a quote
Propel your organization forward by investing in a Medical Claims Audit or a Prescription Audit. We are excited for the opportunity to partner with you.
Not quite ready for a quote, but want to connect with someone to discuss options? Contact us here.