Author: tfgpartnersseo

Self-funded benefit plans offer advantages for employers, whether corporate or nonprofit. As healthcare costs continue to rise, the importance of running medical claims and PBM audits grows. Since most claim administration is outsourced to third-party vendors, internal teams rely on audit reports to oversee vendors. Even small error rates—just a few percentage points—can translate into substantial costs. While claim processors frequently promise to catch and correct mistakes, only audits can verify that those corrections are being made. Greater auditing accuracy improves oversight and cost control. Engaging claim auditors who specialize in medical and pharmacy plans brings an added layer of…