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For anyone managing an employer-funded health plan, imagining a more challenging moment than the coronavirus pandemic is difficult. It's stretched resources beyond their limits and left some things changed forever. In the aftermath, medical claim audits have helped review and confirm the...

Financial responsibilities are significant when large corporate or non-profit employers fund their health plans. Outsourcing claim administration is standard practice and brings efficiencies and the need for oversight. It's where medical claim audits come in because reviewing claim payments...