- Focused Sample Claim Audits
- Random Sample Claim Audits
- Pre-Payment Claims Audits
- Operational Reviews
- Pharmacy Audits
- Dependent Eligibility Audits
Medical Claim Audits Links
Links to Medical Claims Audits and Medical Claims Auditors
Below are some links to sites with more information about medical claim audits and medical reviews.
www.dol.gov/do/topic/health-plans/erisa.htm
www.appeallettersonline.com/int_erisa.htm
www.sarbanesoxleycompliance.us
www.disabilitymanagementservices.com