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Putting the Pandemic's Lessons to WorkDuring the challenging times of the pandemic, employer-sponsored health insurance plans faced significant challenges and disruptions. It is paramount to frequently review claims in a medical and Rx audit to steer towards a more resilient and prosperous future. Despite the routine data reporting by claim administrators, it benefits employer-sponsored plans to schedule an external...0 Commentaires 0 Parts 28 Vue 0 Aperçu
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The Oversight Function for Claim PaymentsBenefit plan claim payments, especially costly ones for health plans, need active oversight to watch for errors. Prescription and medical claims auditing is an excellent way to double-check payment accuracy and the work of claim administrators – third-party processors and pharmacy benefit managers. When large employers self-fund benefit programs and...0 Commentaires 0 Parts 1KB Vue 0 Aperçu