When large employers that self-fund their health plans switch to new third-party administrators or pharmacy benefit managers, the expectations are high. But only medical claims auditing that also covers pharmacy plans can confirm the promised improvements are happening. Onboarding a plan and all of its details onto a claim processing system is a feat, and no matter how experienced TPAs or PBMs are, they can make errors and omissions. It's why a scrupulous audit at the 90-day point is so crucial.

https://www.tfgpartners.com/medical-claim-audits/

https://www.tfgpartners.com/