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Comprehensive Audit of Medical Claims Uncovers Errors

Business Situation 

In support of due diligence efforts, a construction industry health and welfare fund approached BMI to conduct a comprehensive audit of 24 months of medical claims paid by their third-party administrator.

 

Solution

Utilizing our experienced staff and proprietary AUDiT iQ™ software, BMI set the following objectives:

  • Analyze
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Internal Audit Department Partners with BMI

Audit Issue:    

Our client’s internal audit staff wanted to partner with an audit firm who enabled their department to have hands-on involvement throughout the medical claims audit process.  BMI’s auditors routinely allow our clients to accompany them onsite when reviewing our audit samples and in this case, allowed
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