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Corporate Benefit Audits – Minimizing exposure at each level of insurance risk

CBA is an independent auditing firm specializing in the review of complex health claims. CBA’s expertise and experience in health claim adjudication and cost management spans more than 25 years providing peace of mind for our clients.

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Corporate Benefit Audits – Minimizing exposure at each level of insurance risk | getcba.com Reviews
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CBA is an independent auditing firm specializing in the review of complex health claims. CBA’s expertise and experience in health claim adjudication and cost management spans more than 25 years providing peace of mind for our clients.
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2 employer benefit audits
3 CBA
4 TPA Evaluations
5 Medical Stop Loss
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Corporate Benefit Audits – Minimizing exposure at each level of insurance risk | getcba.com Reviews

https://getcba.com

CBA is an independent auditing firm specializing in the review of complex health claims. CBA’s expertise and experience in health claim adjudication and cost management spans more than 25 years providing peace of mind for our clients.

INTERNAL PAGES

getcba.com getcba.com
1

Plan Eligibility Audits | Corporate Benefit Audits

http://www.getcba.com/product-solutions/employer-health-plan-audits/plan-eligibility-audits

Employer Health Plan Audits. Medical Stop Loss Services. Specific Claim Audits & Support. 790 Turnpike Street, Suite 100. Member eligibility is the cornerstone of the health plan – literally everything about the plan is built upon it, and our years of experience show us that the bulk of claim related issues still relate to eligibility. CBA will develop a complete understanding of the eligibility dictated by the health plan and strictly apply those terms to the enrollment records. All gray-areas will ...

2

Operational Reviews | Corporate Benefit Audits

http://www.getcba.com/product-solutions/employer-health-plan-audits/operational-reviews

Employer Health Plan Audits. Medical Stop Loss Services. Specific Claim Audits & Support. 790 Turnpike Street, Suite 100. Superior claim administration performance doesn’t occur without continual effort. Most administrators have systems, management, staff and the procedures that have continued their success for years. However the challenges to keep up with technology, legislative mandates, staff turnover and market competition are significant, especially when operating on heavily scrutinized fees.

3

Frequently Asked Questions | Corporate Benefit Audits

http://www.getcba.com/frequently-asked-questions

Employer Health Plan Audits. Medical Stop Loss Services. Specific Claim Audits & Support. Why is auditing necessary? All aspects of a benefit plan must work together to deliver successful benefit services and plan management. From the sponsor of the plan, to the administrator processing claims, to the carriers insuring the risk – each party directly affects the other and demands performance from each other. 8211; Staff assigned to audits average over 20 years of claim processing experience. 8211; Nurse a...

4

Specific Claim Audits & Support | Corporate Benefit Audits

http://www.getcba.com/product-solutions/medical-stop-loss-services/specific-claim-audits-support

Employer Health Plan Audits. Medical Stop Loss Services. Specific Claim Audits & Support. 790 Turnpike Street, Suite 100. Great care goes into the underwriting of Specific Stop Loss coverage. Through careful evaluation and research claims are forecast and underwritten, yet ironically they remain highly unpredictable. Although the coverage is designed to protect the Health Plan from a catastrophic loss on any one member of the Plan, a ‘Spec claim’ can literally result at any minute.

5

About Us | Corporate Benefit Audits

http://www.getcba.com/about-us

Employer Health Plan Audits. Medical Stop Loss Services. Specific Claim Audits & Support. Corporate Benefit Audits has a national reputation as a first class claim auditing company specializing in health benefits. An industry leader in aggregate claim auditing, we have saved our clients millions of dollars in claims and associated expenses annually. Have you considered the exposure your health plans present regularly? Are you aware of legislation requiring you to do so? P: 978-794-3900 F: 978-682-6784.

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Corporate Benefit Audits – Minimizing exposure at each level of insurance risk

CBA is an independent auditing firm specializing in the review of complex health claims. We provide peace of mind for our clients. CBA’s expertise and experience in health claim adjudication and cost management spans more than 25 years. We are proud to be considered a trusted partner providing clients objective counsel and unique perspective that assures health claims are valid, accurate and complete, culminating in solutions that have saved millions over the years.”. Stop Loss Insurance Carriers. We are...

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