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Types of Audits
Medical Plan Audit
Pharmacy Plan Audit
Dental Plan Audit
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Analyzing your health benefits program with HDM's BenefitsAudit services is the quickest and surest means for self-insured employers to verify compliance and save costs. BenefitsAudit reviews your total benefit program - including medical, pharmacy, and dental plans - and additionally provides clients with detailed data that may identify issues of concern. Many of our clients from America's largest and most respected companies use our audit findings to adjust their current benefits program to begin achieving an even higher ROI.

HDM's array of auditing services with BenefitsAudit include:

Medical Plan Audit
For many self-insured companies, medical plan costs represent a major expense within the operating budget. While medical costs continue to rise and corporate responsibility continues to increase are enough for firms to be concerned, medical claims are often overpaid by the employer or claims are expensed for services no covered by the plan — all supporting the notion for a Medical Plan Audit.

Pharmacy Plan Audit
The rising cost of pharmaceutical drugs is one of the main causes for increases in overall healthcare costs. Pharmacy claims alone account for nearly 25% of all health plan expenses covered by self-insured employers. A Pharmacy Plan Audit is the best way to protect your benefit to employees and keep costs at its wisest expense. Our team of auditors will not only review mail-orders and retail pharmacy claims but also identify prescription misuse and overuse, prescription fraud, and billing errors.

Dental Plan Audit
Rising dental care costs is growing each year despite cutting the number of check-ups, increasing deductibles, reducing reimbursement percentages and freezing fee schedules. Thus management by the employer, through analysis of statistical reports, communication with employees, and management by the administrator are even more essential to understanding and controlling dental plan costs. To ensure sound management of your dental care program, a dental plan audit is your next best step.

To learn more about our cost containment solutions for self-insured employers, contact HDM today at 800.859.5119 or request information with our online form. You may also send an email to: info@HDMinc.com.

 

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