BenefitsAudit

BenefitsAudit evaluates past plan performance by collecting and analyzing plan data and turning it into actionable information. It can be applied to all employee health benefit expenses, including medical, dental, prescription, FSA, and HSA accounts.

The audit is based on a proprietary five-step analysis of 100 percent of claims. This is significantly more reliable than the typical random sampling process that can miss as much as 90 percent of errors that would be identified in the 100-percent assessment.

The five-step analysis includes the development of a centralized warehouse that includes an integrated database of claims, eligibility, and benefits data. In addition there is a sophisticated mining and business rules engine generated from collected data and industry standards. The process also incorporates various business rules and allows for the reporting of critical benchmarks.

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