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Title New TPA and PBM Set-Ups Need Claim Audits
URL https://www.tfgpartners.com/medical-claim-audits/
Category Business --> Business Services
Meta Keywords medical benefits plan auditing, medical benefits plan auditors, benefit plan auditing, medical claims auditing, medical claims auditors,
Meta Description TFG Partners is a healthcare claims audit and monitoring firm that has been leading the industry for nearly 30 years. We’re fully independent and work
Owner TFG Partners
Description
Implementation auditing is essential 90 days after new health and pharmacy claim processing set-ups. It's also accurate medical claim auditing services can independently verify that third-party administrators and pharmacy benefit managers have their systems set up correctly. It's the way to catch minor errors before they become million-dollar problems. TPAs and PBMs famously offer performance guarantees, but only auditing 100-percent of claim payments can verify the promises. Plan sponsors are often surprised to know that claim audits lead to system improvements and recoveries up to four times the audit's cost.