Medical + Rx Claims Audits

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.

Benefits Include

• Identifying payment errors

• Clarifying the plan sponsor’s benefit intent

• Fulfilling due diligence and fiduciary responsibility

• Creating opportunities for future cost savings

Solutions Include

• Prescription Drug Claims Audit

• Contractual Financial Guarantee Audit

• Prescription Drug Rebate Audit

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.