Healthcare Payer

Quality and Claims Auditing and Reporting

Our auditing approach identifies errors and improves claims administration processes. We help businesses with simple and accurate information. We ensure clients with improved cash flow and reduced claims processing expense.

Our Claims Auditing Service benefits include:

  • We identify the payment errors including overpayments to providers and alert clients for recovery. Analyzation of claims payment accuracy and prioritize to correct major process errors.
  • Identify the causes for errors and implement corrective actions to prevent their recurrence.
  • Meeting ERISA or Sarbanes-Oxley 404 requirements compliance.
  • Continuous Quality Assurance for claims administration processes, which enable our clients to improve their revenues 99.9 % accuracy with the claims processing in accordance with the plan of benefits and administrative agreements with the providers.