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Author name: TFG Partners, LLC

Improving A Health Plan’s Performance

Large employers spend millions of dollars monthly on health care for their employees. Their self-funded plans can benefit from medical claim auditing to improve performance. A rudimentary audit will flag errors and irregularities, many of them recoverable. However, a sophisticated claim review will check every payment against the plan’s provisions, reasonable and customary fees, and other variables. Our …

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Improving A Health Plan’s Performance

Large employers spend millions of dollars monthly on health care for their employees. Their self-funded plans can benefit from medical claim auditing to improve performance. A rudimentary audit will flag errors and irregularities, many of them recoverable. However, a sophisticated claim review will check every payment against the plan’s provisions, reasonable and customary fees, and other variables. Our …

Improving A Health Plan’s Performance Read More »