TFG LLC

TFG LLC added blog Business
2026-07-23 07:50:52

Methods for Auditing Medical and Rx Claims
Large organizations and nonprofits that sponsor health plans for their employees encounter considerable financial risks. Consequently, claim auditing is an essential task for all self-funded plans. Plan managers who oversee third-party administrators (TPAs) for medical benefits and pharmacy benefit managers (PBMs) for prescriptions understand that each program has distinct considerations....

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TFG LLC added blog Business
2026-06-15 11:14:39

Audit Medical and Rx Claims After System Start Up
While recovering overpayments is often seen as the primary benefit of health plan claim reviews and pharmacy benefit manager audits, the true long-term value comes from identifying errors that reveal system setup issues. These types of errors can lead to repeated, large-scale mistakes that, over time, result in losses and require effort to correct and recover. Implementation audits offer more...

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TFG LLC updated the profile picture
2026-06-15 11:12:51

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