Get Claim Administration Off on the Right Foot

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2026-07-07 08:23:24 -

Given the complex claim payment systems used by large health and Rx carriers, it’s understandable that most employer-sponsored health plans choose to outsource their claims processing. However, it is necessary to seek an independent assessment from medical claims and pharmacy benefit manager audits after engaging a new administrator of PBM. Best practice is to conduct an audit around 90...

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