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

Specialists in providing claim administration audits.

CTI - Claim Technologies Incorporated
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Services We Provide

A Proven Continuous Quality Improvement Approach

Proven in practice since 1990, CTI's audit services provide accurate, easy-to- understand, and independent analysis to help our clients assure that their health plan claims are being paid effectively and in accordance with their
plan specifications.

The unique and compelling advantage of our approach, however, is the information we also provide for improved administrator accountability and control. CTI's management tools enable you to "look behind the averages",
to see recovery opportunities and costly process weaknesses, and to focus administrator attention on actions to address them. The payback from doing
so can be substantial.

To learn more about our services you can use the links provided below to access brief descriptions and request additional information or a proposal.

 

Medical Plan Audits 

January, 2009 

CTI's audit and control approach is designed specifically to help self-funded health plan sponsors address the control risk and quality of service concerns inherent in third party claims administration. Use of CTI's approach makes it possible not only to identify (andin... 
 

PBM Audits 

December, 2008 

Audit Objectives  The primary objective of our PBM Audit approach is to identify errorsand/or problemsin the administration of the plan — for immediatecorrective action, or possiblereimbursement. Additionally, ourfindings will verify contract adherence, identifyproblem causes,and provide recommended actions for future savings. Compared... 
 

Dental Plan Audits 

January, 2009 

Differences between medical and dental plan claims data and documentation notwithstanding, CTI’s basic audit methodology is used for Dental Plan Audits.  The same proven audit systems, including ESASâ, are used as are identical protocols data collection, analysis and quantification, prioritization,... 
 

Behavioral Health Plan Audits 

January, 2009 

As with CTI’s Dental Plan Audits, the same basic claims audit methodology for Medical Plan Audits is used for our Behavioral Health Plan Audits.  Again, the same audit systems, including ESASâ, are used, as are identical protocols data collection, statistical... 
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CTI - Claim Technologies Incorporated - Specialists in managing self-funded health insurance plans
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