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Claims auditing can provide three key benefits for insurance brokers:

  1. Time savings. The complexity of the claims auditing process--variation in claim forms, contract language, health insurance codes and administrative procedures--can reduce the effectiveness and efficiency of broker or employer self-audits. That's why you and your clients need the trained and experienced staff of Meridian's claims auditors.
  2. Client satisfaction. Not only does the Meridian staff perform an effective and efficient claims audit that recovers unnecessary expenses, your relationship with the client is enhanced because you brought Meridian services to them.
  3. Dollar Savings. The majority of Meridian's claim audit will uncover a number of errors which will result in recoveries for your client.

A regular schedule of claims auditing by Meridian can provide oversight to your client's claim administrator. Even a conscientious claim administrator can miss significant over-expenditures. The following are actual examples from the Meridian claim auditing files:

  • $16,905 overpayment because the administrator paid claims after a contract maximum was met.
  • $4,144 overpayment because the administrator paid duplicate bills.
  • $16,084 overpayment because the administrator did not know specific Medicare provisions.

For additional information or to schedule a meeting with Meridian Claims Audit, click on the "CONTACTS" button at the top of this page.

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