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Why Audit Medical and Rx Claims
With good reason, large employers have adopted self-funded medical and pharmacy benefit plans, which require medical claim and pharmacy benefit manager audits. Initially, audits were a necessity...
Yes, Claims Audits are Highly Customizable
Running a medical and Rx audit to review paid claims has evolved. Initially, the process relied on random samples, which limited the accuracy. However, advancements in technology have enabled the…