Claim Technologies Incorporated CTI - Providing claim administration audits and medical claim audits

Accessible from the links below, CTI White Papers cover a variety of
timely topics of interest to benefits managers, plan sponsors, trustees,
and fiduciaries of self-funded health plans. Information drawn from
outside sources is attributed to them. CTI’s insights, ideas, and
solutions to problems also are highlighted.

Claims Audit Managment and Fiduciary Issues November, 2008 AUDIT AND CONTROL OF HEALTH PLAN CLAIMS ADMINISTRATION – A BRIEF HISTORY WITH DISCUSSIONOF AUDIT APPROACHES, OBJECTIVES, AND TECHNIQUESYIELDING HIGHER R.O.I. Since the advent of self-funding of health plans in the 1980’s, plan sponsors have come to recognize the significant and... [ more ]	Comprehensive PBM Audits July, 2008 COMPREHENSIVE PBM AUDITS Benefit managers and claims payers in general consider theirhealth benefits dollars including their prescription benefit spending as a valuable asset that must be safeguarded and optimized to ensure their beneficiaries receive the most cost-effective therapies and delivery strategies available. This... [ more ]
Dependent Eligibility Verification June, 2008 DEPENDENT ELIGIBILITY VERIFICATION—A DISCUSSION OF THE USE AND ADVANTAGES OF STATISTICAL PROCESS CONTROLS TO IMPROVE ELIGIBILITY VERIFICATION PROCESSES As the high cost associated with covering ineligible dependents on employer-sponsored benefit plans has become clear, approaches for attempting to control it have... [ more ]	Claims Audit Model RFP April, 2007 A DETAILED RFP CONTENT OUTLINE FOR SELF-FUNDED HEALTH PLAN SPONSORS WHO ARE PLANNING TO REQUEST PROPOSALS FOR CLAIMS AUDIT SERVICES CTI's "Model RFP" outlines the elements which, in our experience having seen and responded to hundreds of RFP's over time,... [ more ]

CTI - Claim Technologies Incorporated - Specialists in managing self-funded health insurance plans

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