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Claim audits: a relic of the indemnity age?
1Arthur Andersen LLP, Houston, TX, USA.
Abstract:
Traditional claim audits offering quick fixes to specific problems or to recover overpayments will not provide benefit managers with the data and action plan they need to make informed decisions about cost-effective benefit administration. Today's benefits environment calls for a comprehensive review of claim administration, incorporating traditional audit techniques into a quality improvement audit process.