Resource Center

 

Knowing which option is right for you can be tricky. Find answers to the most common questions and additional resources to help you be proactive about health benefit spending.

 
 
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Frequently Asked Questions


Medical + Rx
Claims Audit

  • Why audit?

  • Why do errors occur?

  • When is the best time to audit?

  • How much time does an audit take?

  • What timeframe of claims can be audited?

  • How are audit samples selected?

  • Which sampling methodology is best?

  • What savings do employers see?

  • What do I need to consider?

  • Can I use BMI software?

Dependent
Eligibility Audit

  • Why Audit?

  • When is the best time to audit?

  • Which verification approach is best?

  • How long does an audit take?

  • Can BMI audit spousal surcharges/carve-outs?

  • Can BMI audit marital status only?

  • What savings do employers see?

  • Which employers benefit the most?

  • What do I need to consider when selecting an auditing firm?

Implementation Audits

  • What is an implementation audit?

  • Who should be performing an implementation audit?

  • What type of benefit plans can be tested?

  • What if an administrator does their own auditing?

  • When is the best time to audit?

  • Can we audit if the plan is already live?

  • How can BMI audit without any live claims?

  • How much does an implementation audit cost?