About Us | Benefit Claims Auditing and Monitoring

Claims Auditing and Monitoring with Full Service

A claims audit is the first step in our process, which by the end, makes your benefit plans more effective and cost-efficient. We review 100-percent of claims for medical, dental, prescription, COBRA, worker’s compensation, HSA, HRA, and eligibility/dependent verification. As soon as we’ve audited every claim, we analyze the results, advise on improvements, and help you recover funds from benefits plan claims paid in error.

TFG’s corporate health plan auditing service is continuous; your benefits claims are monitored in real-time to keep your administration operating at its most accurate. We require very little of our client’s time. In general, we need only four or five non-consecutive days of your time to complete a full-service health plan audit. We need less time because our 100-percent approach requires far less review than the random-sample method. We’ve genuinely changed the paradigm for auditing self-insured medical plans and all other corporate benefits programs.

We Audit and Monitor All Claims Administrators

We’ve audited and monitored every claims administrator in the industry and work well with them all. It’s because we understand every aspect of the business and work unobtrusively. Our uniquely qualified team has broad and deep experience in medical and health plan administration, medical management, medical claims auditing, processing, prescription claims auditing, computer technology, healthcare cost containment, and consulting. Together, we have hundreds of years of experience in all of the areas that matter most.

At TFG Partners, we prize our independence above all else because it allows us to be unbiased advocates for our clients and their interests. We are 100-percent focused on medical and benefits plan auditing to improve plan performance across the board. No one else providing medical claims auditing can match our service and accuracy. We suggest steps for long-term improvement, and our work is budget neutral for every client.

Our Technology and People Make the Difference

Since our founding as a medical claims auditing company, we’ve audited claims with a 100-percent approach, every time. We include audit, analysis, advice, in every review of a self-funded medical or benefit plan. It’s a complete approach that yields results that are far more accurate than the random sampling approach. We also believe firmly in budget neutrality and for many clients help recover far more than the fees for our service. We also suggest continuous monitoring and claims administration improvements that enhance performance for years to come.

No matter who you’ve worked with before — or if this is the first time having your self-funded health care plan audited or monitored — you can count on TFG Partners to get the job done quickly and efficiently. If you’re searching for the best corporate medical claims auditor, you’re in the right place. Contact us today for more information about how we can put the industry’s best claims auditing to work for your company.