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Health Plan Audits


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Guest Benefit Specialist
Posted

Does anyone have any suggested brokers/companies that are reputable to do health claims audits for a self insured corporation? We are located in PA but are willing to take any suggestions if you have a good one to offer. Thank you for your help!

Guest mrsntc
Posted
Does anyone have any suggested brokers/companies that are reputable to do health claims audits for a self insured corporation? We are located in PA but are willing to take any suggestions if you have a good one to offer. Thank you for your help!

We are currently using Healthcare Horizons Consulting Group. 615-373-2023. www.healthcarehorizons.com John M. Graham One Maryland Farms Suite 105 Brentwood Tn. 37027. Gave us an excellent quote and seems to be quite on top of things.

Posted

We have used Segal in the past. The Trustees were pleased with the results and the cost was less than some of the other national consulting firms.

Guest Benefit Specialist
Posted

What is the official name of Segel, I'm not sure I brought up the correct contact info. Thanks for your recommendation!

Posted

The Segal Company's website address is www.segalco.com.

You will have to poke around and find their health plan auditing arm. I think they are in Phoenix.

The fees we were quoted for a comprehensive claims audit were in the $35k-$65k range for a plan with 3000 active employees. All bids were from national consulting firms.

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