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 Verify Solutions is proud to offer 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 Verify Solutions has identified
more than 60,000 ineligible dependents, saving millions of dollars for
employers.
Why Conduct A Dependent
Eligibility Audit?
Our experience demonstrates
that typically 3-5% 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 Verify 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 Verify 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
These services are provided by HMS Verify Solutions.
Working with so many government programs helps us see the big picture and allows clients to benefit from our knowledge and expertise.
