Employer-sponsored health and pharmacy benefit plans are crucial elements of employees' overall compensation packages, demanding vigilant oversight to ensure the accurate processing of claims. The specialization of most of these plans requires customized oversight, particularly regard...
Employers that provide self-funded health care plans for their employees have a vested interest in keeping their plans financially sound. It is essential to conduct regular medical claim audits to ensure the plans remain on track. While audits were previously used primarily for regulatory comp...