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Claim Auditing is a Trending Topic After a Recent Lawsuit

Professional auditing medical benefit claims after lawsuit.

The value of medical claim auditing for self-funded health plans is affirmed in many ways each year – it always pays to review what’s happening with your third-party processor. The latest example to make TPA oversight a topic in the news is a class-action lawsuit filed against UnitedHealthcare Group (“UHCG”) over out-of-network payments. The giant health carrier (and claim processor for self-funded plans) is accused of systemically underpaying benefits for out-of-network claims in violation of ERISA’s fiduciary obligations.

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January 7, 2023/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2020/07/scott-graham-OQMZwNd3ThU-unsplash-1-scaled.jpg 1709 2560 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2023-01-07 02:05:072023-02-26 01:21:07Claim Auditing is a Trending Topic After a Recent Lawsuit
Cost of Care, Drug Pricing, News, Prescription Drugs

Audit Your Plan’s Pharmacy Claims as Prices Rise

The inside of a pharmacy. Claim auditing can help find duplicate charges. Contact us for pharmacy claim auditing services.

It’s never been a better time to audit your Pharmacy Benefit Manager (PBM) and the claim payments it makes on your plan’s behalf. With drug price increases expected in 2023 for commercial and employer-sponsored health plans, keeping an eye on things will be vital. Read more

November 16, 2022/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2023/02/medical-1454512_1280.jpg 800 1280 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2022-11-16 18:24:092023-02-26 01:21:07Audit Your Plan’s Pharmacy Claims as Prices Rise
Drug Pricing, News, Prescription Drugs

Pharmacy Plan Audits vs. Rx Co-Pay Optimizers

Pharmacy claim auditing company. Pharmacy claims auditing services for medium and large companies

If you’re a medical benefit plan manager and hearing about Rx co-pay optimizers, this article is for you. The question our clients have is, how much can an optimizer save my plan? Read more

May 11, 2021/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2021/05/vegan-5178879_1280.jpg 1600 1578 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2021-05-11 20:28:502023-02-26 01:21:08Pharmacy Plan Audits vs. Rx Co-Pay Optimizers
Cost of Care, TFG Partners News

The Added Value of Medical Claims Auditing

TFG is one of the best medical claims auditing companies in the US. A pharmacy where a pharmacist is filling out prescription medication for an employee with a medical benefits plan for auditing.

When large and medium-size employers weigh the value of medical claims auditing and continuous claims monitoring service, we remind our clients there are added values to consider.
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March 30, 2021/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2020/08/national-cancer-institute-fTQHPb6r4wQ-unsplash.jpg 1067 1600 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2021-03-30 22:10:122023-02-26 01:21:08The Added Value of Medical Claims Auditing
Cost of Care, News, TFG Partners News

How New Hospital Price Lists Can Help Medical Claim Auditing

Health plan audits for medical claims. Auditing services provided by TFG Partners. Medical claim audits for large and medium sized companies.

The medical plan audits and continuous monitoring we provide at TFG Partners are expected to benefit from the Federal Hospital Price Transparency Rule that took effect on January 1, 2021. It requires hospitals to post prices online for 300 services, including MRIs, heart procedures and surgeries, joint replacements, new patient visits, and lab tests. Read more

January 28, 2021/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2021/01/hospital-prices-unsplash.jpg 1050 700 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2021-01-28 04:36:392023-02-26 01:21:09How New Hospital Price Lists Can Help Medical Claim Auditing
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