Description
At BMI, we assist organizations in analyzing their benefits data to ensure healthcare dollars are being spent wisely. Our services verify that the correct individuals are enrolled in plans and that healthcare claims align with the plan's design. We recognize the concerns regarding third-party administrators' claim processing accuracy and the eligibility of enrolled members. Our auditing services offer a comprehensive approach to maintain the integrity of health plans, ensuring fair and accurate benefits for all members. Furthermore, we help reduce healthcare costs for employers and employees, facilitate timely payments to healthcare providers, and enhance overall satisfaction with health plans. Our specialized services include Dependent Eligibility Audits, Ongoing Eligibility Verification, Medical Claims Audits, Pharmacy/Prescription Claims Audits, and Implementation Audits.
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