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internal audit department

Claims Audits Test Third-Party Administrator Effectiveness

Business Situation 

Every few years this large group of public school districts relies on BMI to conduct a thorough review of medical claims paid by their third-party administrator to ensure the plan’s assets are being used appropriately for the sole benefit of plan participants.

 

Solution

Utilizing our experienced staff …

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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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