Since 1998, MedReview has become One of the Leading Medical / Health Claims Auditing Firms in the Country Our Medical Claims Audits, Pharmacy Audits, Pre-Payment Claims Audits and Dependent Eligibility Audits Help Self Insured Plan Sponsors Reduce Their Healthcare Costs
Organizations that self insure their health plans are experiencing
double digit cost increases. Health care plan costs are now one of their largest
operating expenses. MedReview's medical
and our dependent eligibility audit programs will help you control your
self insured plan's expenses and will result in a positive contribution
to your organization's bottom line. MedReview's medical claims audits
will also help you comply with ERISA, Sarbanes-Oxley and other regulatory
requirements that mandate you act in the best interests of your plan's
MedReview provides a full range of healthcare
claims and dependent eligibility audit services.
- Identify and recover overpaid
- Monitor claims payment accuracy.
- Verify that systems and processes
are in place that will maximize the claims paying performance of the
sponsor's Third Party Administrator.
- Help plan sponsors measure
how effectively their plan is being administered and to determine if
their Third Party Administrator is operating within industry standards.
- Our pre-payment claims audit identifies potential claims overpayments before they have been paid by your Third Party Administrator.
- Help plan sponsors evaluate
their pharmacy benefits program to determine if their prescription claims
are being paid in accordance with their PBM contract.
- Help plan sponsors validate
that all dependents in their benefit plan qualify for plan