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Dependent Eligibility Aduit - Healthcare Knowledge is Healthcare Power

    How can your organization avoid this scenario? An easy first step is to make sure all dependents on your insurance plan qualify.

    But wait, what about all that paperwork? HealthShield makes it simple. This electronic audit tool ensures all employees receive notice of the audit (no more, “It got lost in the mail”), and verifies each individual’s information. Employees then complete a simple online questionnaire to confirm their eligibility as well as that of their dependents. To complete the audit employees upload, mail, or fax the required documents to Medical Business Associates, Inc.

    Our trained medical auditors then perform a rigorous analysis of your employee and dependent population, aggregating individual responses into a centralized database to accurately identify eligible participants. Upon completion, MBA also highlights potential opportunities for clients to improve eligibility verification and related administration processes.

    Why MBA?

    • We have over 20 years of experience in the healthcare audit field.
    • Ninety-nine percent of our clients realize cost savings.
    • Our proprietary HealthShield software is automated and electronic - no more cumbersome and expensive paper audits.

    How can you stop the pay and chase? HealthShield catches overpayments before they occur. Similar to credit card programs that verify charges, HealthShield monitors patient data and alerts users when abnormal spending behavior occurs. It also asks employees to verify doctor’s visits and pharmacy purchases.

    Once initial setup is complete, you’ll have the ability to audit an employee before ineligible dependents even have a chance to sign up. No more pay and chase

    With healthcare costs projected to increase nine percent this year, it is time to take a pro-active approach to decreasing expenditures.

To discover the benefits of contact form.

Healthcare Fraud

In 2007, ten individuals, including four doctors, were indicted in a scheme to defraud patients and insurance companies in connection with allergy testing and shots.

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