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Is It Time for a Third-Party Administrator 'Check-Up' for Self-Insured Employers?
WithumSmith+Brown, PC Link to more items from this source
Mar. 10, 2016
"It is imperative that self-insured employers develop and implement a monitoring system of their TPA. The monitoring should include an audit which offers an unbiased view on the accuracy of the claims payment process and verifies a TPA's self-reported results.... [R]easons why an employer should audit a TPA or an Insurer under an ASO contract ... A typical TPA audit process includes the following components ... Typical errors discovered during an audit include but are not limited to the following[.]"

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