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

Balancing provider access, network access fees, network discounts, and administrative services fees is a never-ending challenge. With it, and the millions of dollars your claims administrator is spending on your employees' medical expenses on your behalf, also comes the need for assurances that claims are being paid to eligible participants and in accordance with your plan of benefits and administrative agreements. So what's the best way to keep everything in balance? The "right kind" of claims audit approach can make a significant difference.

So What Is The Right Approach?

While risk exposure in claims administration has become better understood, not as well understood is the significant leverage that controlling claims administration processes can have on claims expense and service quality - something that conventional claims audits fail to take into account. However, uncontrolled variation in processes that affect millions of dollars in claims can have material adverse effect. Conversely, with the right kind of management tools and information, and a collaborative approach with your claims administrator, claim payment processes can be improved and material savings can be realized.

The CTI Solution

Linking specialized proprietary auditing systems with the principles of Continuous Quality Improvement, the compelling advantage of the unique CTI approach developed by CTI is that it not only measures performance and identifies errors and recovery opportunities, but it goes an important step further with unique audit findings using statistical process control techniques to analyze and reveal costly process weaknesses, pinpoint their causes, and encourage your claim administrator to correct them. Given the leverage of even small improvements, the benefits from doing so can be substantial, start very quickly, and can be sustained over time.

Notwithstanding experience you may have had with "claims audits" in the past, CTI's is a proven, proprietary audit and control approach that none other can match in terms of reducing claims expense, improving service, and maximizing the return on your claims audit investment.

Click here or call us today to find out more -- (312) 961-2172.