https://boombox.px-lab.com/members/tfg_partners/activity/ Activity feed for TFG Partners. Thu, 16 Apr 2026 13:25:47 +0000 https://buddypress.org/?v=10.3.0 en-US 30 hourly 2 f5bcd43366e31d6507710acc703f611b https://boombox.px-lab.com/forums/topic/audit-benefit-claim-payments-for-accuracy/ Mon, 22 Dec 2025 08:21:31 +0000 Managing employer-funded health plan claims is no small feat. Today’s third-party administrators (TPAs) and pharmacy benefit managers (PBMs) work with impressive accuracy. Still, TPA and PBM audits uncover mistakes or irregularities. With the volume of claims and the complicated nature of billing, it’s clear why regular claim reviews are so imp…[Read more]

]]> c3d92b79429cfe6c2a669e34526cc4a2 https://boombox.px-lab.com/forums/topic/frequent-claims-audits-protect-health-plans/ Tue, 19 Aug 2025 05:34:20 +0000 In the early years of self-funded health and pharmacy benefit plans, auditing was primarily seen as a matter of regulatory compliance. However, that perspective has evolved significantly, mainly due to advancements in medical auditing technology. Nowadays, there’s even PBM RFP consulting, and the capability to scrutinize 100% of claims represents…[Read more]

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