With today’s challenging
economy and a renewed focus on healthcare fraud, waste, and abuse, employers
nationwide are on a quest for ways to combat rapidly rising healthcare
costs.
HMS Employer Solutions offers dependent eligibility audit services to ensure that individuals receiving health benefits are eligible plan participants. Our innovative audits set the standard—they are employee-friendly, generate exceptional ROI, and have minimal impact on internal resources.
HMS Employer Solutions has audited over 2.5 million dependents and we've saved our clients over $1 Billion.
Why Conduct A Dependent
Eligibility Audit?
Our experience demonstrates
that typically 4-8% of dependents in employer-sponsored health plans
do not meet the plan’s eligibility definitions. Coverage
for ineligible dependents can impose a significant financial burden
on plan participants as well as the plan itself. In just 90 days from
start to finish, HMS Employer Solutions can trim significant dollars from
employers’ annual healthcare costs—without reducing employee benefits.
And our dependent eligibility
audit services reduce legal risks by helping employers maintain fiduciary
compliance with labor-intensive federal regulations.
The Benefits of a Dependent Eligibility
Audit
Through experienced staff,
best practice processes, and proprietary software, HMS Employer Solutions
offers a unique approach to dependent eligibility audits. Our
employee-centric method has been proven to:
- Immediately contribute to the management of healthcare costs and plan compliance in a manner that is business-oriented and innovative
- Ensure that dependents are eligible to receive healthcare benefits
- Produce results that are easily measured and generate an exceptional ROI
- Complement existing and future strategies to contain healthcare costs
- Provide guaranteed savings throughout clients’ benefit cost structure including health, prescription drug, dental and vision plans
For more information about dependent eligibility audits, please visit dependentcheck.com.
HMS's dependent eligibility audit solutions have been exclusively endorsed by the American Hospital Association.