Insurance Audit Assistance (PBM‑Initiated)

Overview

This service supports audits once initiated by a PBM or third party. Prevention tactics are addressed under Operations Management.

Outcomes

·  Reduce chargebacks and contain exposure
·  Clear, timely, and complete responses to audit requests

Typical deliverables

·  Document gathering & reconciliation (RX, signatures, inventory, logs)
·  Drafting responses and uploading to PBM portals within deadlines
·  Appeals package for chargebacks with supporting documentation
·  Status tracking and communication with payors/third parties

FAQs

Question1

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Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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