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Healthcare benefit costs continue to be a critical issue for self-insured employers, and many are turning to TFG Partners to provide detailed claims data analysis through the audit function to understand their health related expenditures, recapture claim overpayments, and implement cost-avoidance improvements through their claims administrator.
TFG Partners provides self-insured employers effective solutions to assess healthcare claim payment accuracy so they can optimize management of existing programs and costs.
TFG Partners employs a comprehensive 100% claims audit process to provide a thorough review of one of the largest cost components of an employer’s organization.
Our audits include medical claims, pharmacy benefit, dental and vision benefits, workers’ compensation, dependent eligibility, and COBRA plan compliance.