Medical claims and dependent eligibility auditing services are available to PBGH employer members at discounted rates, plus volume incentive discounts based on the total number of lives audited across PBGH employer members. Members have the potential to realize cost savings by validating each medical claims administrator’s compliance with proper claims adjudication practices relative to their benefit plans or reducing the number of ineligible dependents currently covered under the plan.
Employer Members can find more information here.
For more information contact Diane McClune at diane.mcclune@pbghpa.com or 724-775-1613.