Understand More About Your Claim Audit

December 12, 2022 1 Min read Views 77 BUSINESS

At first, a healthcare audit might sound complicated and it\’s accurate many details are involved. But if you are responsible for managing a self-funded plan and need to conduct claim processing oversight, few things are as helpful. The objective is to confirm claims are being paid correctly and mistakes are avoided, but getting to those findings takes detailed work. Each claim has hundreds of data points to check, and a sophisticated electronic review is the first step. Auditors then review the results and either draw conclusions or re-run part of the batch – their experience guides the process.

Tags: medical benefits, medical benefits plan auditing

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