Determining the annual claim costs for a large employer-funded health plan involves various factors. For those involved in budgeting, medical claim auditors can be a resource for gathering deeper insights. The process sheds light on your claim administrators' work and can identify errors in past payments. The most effective claim auditors have specialized expertise, allowing them to audit each...
When a third party pays millions of dollars on behalf of another entity, careful oversight is essential. Therefore, examining the relationship between an employer-funded health plan and its claims processor is essential. Medical claim auditors play a critical role in verifying the accuracy of payments. Even with low error rates, the financial stakes can be substantial. The primary function of...
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