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In the Spotlight: Benefit Plan Claim Audits
In the business world, cycles are a common theme, and the post-pandemic landscape is likely to see employer-funded health plans taking a firmer stance on benefit claim payments. Many of these plans are now teaming up with auditing firms to run a medical and PBM audit to review payments processed by third-party vendors. Since most self-funded plans rely on these external companies for processing...
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