CTI - Claim Technologies Incorporated provides claim administration audit, including medical claim audit, medical claim review, and medical plan claim audit

Since its inception in 1990, CTI has maintained a highly specialized audit and consulting practice with the basic mission of helping benefits managers reduce claims expense and improve service in their self-funded health plans. Serving all types of health plans across the U.S., in the past four years alone we have audited over $40 billion in claims on behalf of our clients. We perform Medical Claims Audits, PBM Audits, Dental Claims Audits, Behavioral Health Plan Audits, Disability Plan Audits, Flexible Spending Account Audits, Dependent Eligibility Audits, Data Mining Services, and more.

Our unique audit and control approach is based upon linking rigorous audit systems and procedures with the principles of Continuous Quality Improvement. In addition to conventional claims audit measures, we use proprietary electronic screening, statistical sampling, and "Deming/Six Sigma" process control techniques to help our clients improve the quality of their claims administration. In contrast to others, our approach seeks not only to identify errors and recoveries, but more importantly to reveal, prioritize, and remedy their underlying causes.

If you are planning to audit your health plan claims administration in the coming months, our goal here is to open a dialog with you to learn more about your audit needs and objectives and to acquaint you sufficiently with our philosophy and approach that you will invite us to submit a proposal. Toward that end, the links above will take you to additional information and show you "what's different and better" about CTI's value added approach.