TFGPartners's Page

Large corporate and nonprofit employers providing medical and prescription plans for their employees have significant financial stakes in ensuring the accuracy and efficiency of their claims processing systems. Given the magnitude of financial transactions involved, it becomes evident that medical claim auditing services are vital components…

Over the years, many larger employer-funded benefit plans have opted to outsource claim processing to large insurance carriers and pharmacy benefit managers, touting cost savings and superior results. However, the promises need verification by doublechecking claims in a medical and Rx audit to ensure commitments are being upheld and potential…

Large dollar amounts in medical and pharmacy plan claims make healthcare audit services a top priority for most plan sponsors. Regulations mandate that plans act in the best interests of their members, and accurately paying claims is vital. It is a significant concern for corporate and nonprofit employers who sponsor their plans…

Anyone involved in paying for prescription medicines knows the prices can be shocking. Therefore, you can imagine the impact on employer-funded health plans paying on behalf of members. In the current environment, running an Rx audit routinely makes excellent sense. New medicines come on the market yearly as others go off-patent and…