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Enrollment and Spousal Audits

Howell’s audit services produce proven financial savings, verify accuracy of carrier records by identifying ineligible plan participants and ensure carrier or third party claim payment accuracy.

 Claim Audit (Self-Funded Only)

  • Identify measurable cost savings.
  • Confirm payment and records accuracy.
  • Ensure systems and processes are in plan that will optimize claim paying performance.
  • Fulfill due diligence and fiduciary responsibility.
  • Identify human misinterpretation of plan language.
  • Enhance administrator’s understanding of the plan.
  • Confirm internal administrator policies do not prevail of plan language.
  • Create a sentinel effect.

Dependent Eligibility Audit

  • Decrease overall health care costs.
  • Save administration time and money.
  • Realize immediate measurable results.
  • Ensure plan participant understanding of eligibility requirements.
  • Improve the renewal process with accurate enrollment records, documentation and communications.
  • Identify anywhere from 2-10% of dependents who are ineligible.
  • Reduce compliance risk under Sarbanes-Oxley, ERISA and DOL

 

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