Close

verification audit

Combined Savings: Audit of Dependent Eligibility & Spousal Surcharge

Business Situation & Client Profile:  

A small employer group with 259 employees covering 600 dependents contacted BMI to: 1) verify the eligibility of all dependents and 2) determine whether or not enrolled spouses should be paying a spousal surcharge per the plan.

Solution:

BMI customized an audit plan to meet …

Read More

Small Group Achieves Big Savings with Dependent Eligibility Verification

Business Situation & Client Profile:  

Following successful claims audits conducted with this organization’s affiliate, this small manufacturer approached BMI to help confirm if enrolled dependents actually met the organization’s self-funded medical plan eligibility requirements.

 

Solution:

BMI customized a dependent eligibility verification plan to meet the following goals:

  • Communicate the
Read More

Dependent Verification Saves Group Over 2 Million

Business Situation & Client Profile:  

This city and county government approached BMI to help confirm if health care plan dollars were being spent appropriately by verifying the eligibility of 7,596 enrolled dependents.

 

Solution:

BMI customized a dependent eligibility verification plan to meet the following goals:

  • Communicate the purpose of
Read More

Dependent Verification Equates to Real Savings

Business Situation & Client Profile:  

To ease the burden of rising health care costs and reduce risk, this manufacturer enlisted BMI’s assistance with dependent verification of  1,020 enrolled dependents on the health plan.

 

Solution:

BMI customized a dependent eligibility audit plan to meet the following goals:

  • Communicate the purpose
Read More

Savings Follow Verification of Spousal Eligibility

Business Situation & Client Profile:  

To ease the burden of rising health care costs, this manufacturer enlisted BMI’s assistance to verify if 344 enrolled spouses were eligible under their employer’s health plan and therefore ineligible on the manufacturer’s plan. The employer also elected to verify the eligibility of 623 dependent …

Read More

Small Employer Achieves Big Savings through Dependent Eligibility Audit

Business Situation & Client Profile:  

Facing rising costs to provide employee benefits, this institute of higher education contacted BMI to verify the eligibility of all 484 dependents enrolled in their health care plans.

 Solution:

BMI customized a dependent eligibility audit plan to meet the following goals:

  • Communicate the purpose of
Read More

Audit of Dependent and Spousal Surcharge Eligibility Achieve Combined Savings

Business Situation & Client Profile:  

A regional hospital and healthcare center with 650 employees covering 1,480 dependents contacted BMI to: 1) verify the eligibility of all dependents and 2) determine whether or not enrolled spouses should be paying a spousal surcharge per the plan. Verification was previously performed internally.

 

Solution:

Read More

Removal of Ineligible Dependents Translates to Savings

Business Situation & Client Profile:       

A city government provides a comprehensive benefits package to 1,304 employees and their 2,663 dependents. To avoid payment of health claim claims for ineligible dependents, the city contracted with BMI to administer a comprehensive dependent eligibility audit.

 Solution:

BMI customized an audit plan to meet …

Read More

Savings Continue Following Annual Dependent Eligibility Audit

Business Situation & Client Profile:       

This manufacturing client contacted BMI to conduct an annual dependent eligibility audit of all 2,361 enrolled dependents due to high turnover and limited resources to verify eligibility for new hires. Their last audit with BMI resulted in over $450,000 in annual savings.

 Solution:

BMI customized …

Read More

Value Realized – Periodic Dependent Verification Still Successful

Business Situation & Client Profile:       

A regional healthcare system asked BMI to verify the eligibility of all 5,143 dependents enrolled in their health plans after several years had passed since their last dependent eligibility audit.

 

Solution:

BMI customized an audit plan to meet the following objectives:

  • Communicate the purpose of
Read More