Audit Claims Medical Claims For Cost Containment
December 2, 2022 ⚊ 1 Min read ⚊ Views 71 ⚊ BLOG
Errors in medical bills and the claims filed to pay them to add up to millions of dollars annually. Therefore, corporate and nonprofit employers that self-fund their plans increasingly use health plan auditing services for oversight. As claim payments have increasingly moved out of house to third-party processors, sponsors rely more on auditing as their backstop. Health insurance carriers that act as TPAs have a high degree of accuracy, and error rates are kept low. But because the dollar amounts of claims are high, even a tiny percentage can significantly affect a sponsor’s bottom line.
Read details: https://www.tfgpartners.com/medical-claim-audits/
Tags: medical benefits, medical benefits plan auditing
