• Medical & Prescription Drug Audits and Continuous Monitoring to Make Your Plan Administration Flawless

    TFG pioneered 100% claims auditing. Today we audit and continuously monitor all medical and prescription claims to assure peak plan performance.

Medical and Prescription Drug Audits and Continuous Monitoring
to Make Your Plan Administration Flawless

TFG pioneered 100% claims auditing. Today we audit and continuously monitor all medical and prescription claims to assure peak plan performance.

Full-Service Medical and Prescription Drug Audits

Our full-service approach to medical and prescription drug audits revolutionized the industry nearly 30 years ago. Today, we can improve the administration of your claims in real-time with continuous benefit claims monitoring. Since our founding, others have joined the field, but no one matches our level of service and accuracy. We have a long list of clients, many from the Fortune 500, that rely on us to improve the value of their health benefits plan investment and serve their employees better.

TFG Partners is a Medical Benefit Auditing Company in Pittsburgh, PA. A pharmacy claims audit is a review of your company's medical benefit plans by monitoring the claims. TFG Partners is one of the best medical claims auditing companies for medical, dental, prescription, COBRA, worker's compensation, HSA, HRA, and eligibility/dependent verification.
TFG provides continuous monitoring for medical claim auditing and prescription drug claims auditing.

At TFG Partners, we’re more than auditors for self-funded health plans and other benefits plans. We are advocates and advisors to our clients. Our team of senior-level experts collectively has more than 100 years of experience in the field. We take pride in our work and are champions of accuracy, insightful reporting, and a results-oriented approach. Our goal is to help you deliver the health care and other benefits promised to employees while improving your bottom line. Even though we are data and numbers experts, we have a people-oriented approach in everything we do.

Our Auditing Services

Will a medical and prescription drug audit and continuous benefits monitoring pay for themselves?

Our mission at TFG Partners is to make sure they do. It’s also why we take a full-service, cost-savings approach that views an audit as the starting point. Our legendarily thorough method (and powerful proprietary software) adds analysis, advice, recovery, and advocacy to what is traditionally considered an audit. The result is a budget-neutral process that uncovers efficiencies and cost-reduction opportunities. When you add continuous claims monitoring, you’ll serve your employees better and improve your bottom line immediately..

Read More About Our Services

Our Company Benefits Audit & Monitoring Service Has the Industry’s Highest ROI

We’re advocates to help our clients make the most productive use of audit results and continuous claims monitoring.

  • We work directly with administrators on behalf of our clients.
  • TGF is fully independent and 100% dedicated to best practices.
  • We identify and resolve issues throughout your entire system.
  • Our knowledge of the industry & our abilities are unmatched.
  • We make sure your plan achieves peak performance in all aspects

Graphic showing a representation of customers saving money through overpayment recovery in medical billing. Our medical claims auditors are experienced in perform both medical and pharmacy claim audits. graphic representing a healthcare claims audit. TFG is one of the best medical claims auditing firms in the industry. Our professional medical claims auditors are specialized at overpayment recovery in medical billing.

  • We work directly with administrators on behalf of our clients.
  • TGF is fully independent and 100% dedicated to best practices.
  • We identify and resolve issues throughout your entire system.
  • Our knowledge of the industry & our abilities are unmatched.
  • We make sure your plan achieves peak performance in all aspects
Graphic showing a representation of customers saving money through overpayment recovery in medical billing. Our medical claims auditors are experienced in perform both medical and pharmacy claim audits.
graphic representing a healthcare claims audit. TFG is one of the best medical claims auditing firms in the industry. Our professional medical claims auditors are specialized at overpayment recovery in medical billing.

100% CONFIDENTIAL & SECURE

SECURITY AND DATA PROTECTION ARE OUR HIGHEST PRIORITIES THROUGHOUT THE CLAIMS AUDITING PROCESS.

Graphic representing TFG's commitment to providing secure medical and pharmacy claim audits. We are one of the best medical auditing firms in the industry for client data security and privacy. Medical claims audit company.

LEARN MORE ABOUT
OUR SECURITY

We are a leading medical claims auditing firm based in Pittsburgh PA. A medical claims auditing company can help save money by auditing pharmacy claims.

We identified issues and recoveries we did not expect and that more than paid for the audit, with the fixes helping our plan members, but most importantly I agree you have excellent service!

Until we audited, we did not know that our discounts were over $1 million short, and once refunded, we put TFG’s continuous monitoring service in place after which we saw that the PBM quickly put new specialty pricing in place to get in line with the promised discounts.

WE thought that a discount guarantee meant that we never pay more, but the TFG Continuous Monitoring Service also showed that drugs were reclassified to avoid outperforming that guaranteed amount. We make sure that we protect our members including those in High Deductible Plans so they get the lowest costs right away.

PreviousNext

Recent news

Check more posts in the blog for more inspiration

RX auditing & continuous monitoring services by TFG Partners for fiduciary duty compliance.
,

Rx Audits Are Vital to
Fiduciary Duty

Are There Red Flags in Your PBM Contract? Any behind-the-scenes business practices of Pharmacy Benefit Managers (PBMs) can put Group Health Plan (GHP) sponsors and their executives in ever-greater legal jeopardy. The recent tightening of legal…
CONTINUE READING
Auditing pharmacy, medical, and prescription claims can minimize the chance of fiduciary breach lawsuits.

Claim Auditing and The Latest Fiduciary Breach Lawsuit

Catch and Correct Problems with Continuous Monitoring Before Your Plan is Sued Anyone involved in health care plans and payments today is aware of the growing number of fiduciary breach lawsuits, some of them sprawling class actions. Each new…
CONTINUE READING
Auditing medical claims for health, pharmacy, and rx plans.

Medical Claim Audits Matter More in Tough Times

Doublecheck for Overcharges and Improper Billing Anyone having anything to do with the U.S. healthcare system would love to hear good news about healthcare pricing and billing. But so far, none appears to be on the horizon. Instead, there is…
CONTINUE READING

Contact us for a quote

    CONTACT INFO

    ABOUT US

    CLIENT SERVICES

    CASE STUDIES

    © Copyright 2025. All rights reserved

    News | Employment | Site Map | Privacy Policy

    error: Content is protected !!