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pre-implementation audit

Pre-Implementation Audits – An ounce of prevention is worth a pound of cure.

Business Situation:
After making changes to benefit plan design from the prior plan year, this employer engaged BMI to conduct a pre-implementation audit to verify that the claim administrator’s system was programmed correctly.
 
Solution:
After reviewing plan documentation, auditors reviewed and set up over 85 test scenarios focusing on
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Pre-Implementation Audits – An ounce of prevention is worth a pound of cure.

Business Situation:  
After dropping some plan options and adjusting others from the prior plan year, this employer engaged BMI to conduct a pre-implementation audit with their claims administrator.   
 
 Audit Finding: 
BMI tested areas with claims scenarios that included, but were not limited to
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