Provider Medical Bill Audit

As the cost to provide healthcare continues to rise, so does the need to control those costs.

As the payer of record for your covered lives, you must have processes and controls in place to not only ensure payment compliance, but also ensure the accurate reimbursement of claims.

Overpayments and underpayments of claims cost time, money and resources, the allocation of which must be closely monitored as a share of cost. Putnam Health Advocates can help support your efforts to reimburse correctly.

Industry-wide, 1 in 3 claims are processed incorrectly costing consumers, providers and payers hundreds of millions of dollars annually. Proper audit of claims and ongoing review is essential in minimizing erroneous payments.

Our team of Nurse Auditors review claims at submission to determine error.