Records we examine
- Relevant plan documents and contractual requirements
- Claim transaction histories and payment records
- Administrative correspondence, disclosures, and supporting documentation
CAPABILITIES
Compliance & Audit Support
Examine healthcare claims data, administrative practices, and documentation to inform compliance assessments and audits.
Questions the analysis addresses
- How do the documented administrative practices relate to relevant plan terms and requirements?
- Where are documentation gaps or inconsistencies evident?
- Which findings warrant further assessment by the organization or its counsel?
DECISION SUPPORT
Make the findings usable.
Structured findings and supporting evidence that help organizations and legal teams evaluate administrative practices and focus further review.
Discuss your claims analysis needs.
Contact Accord to discuss the records, questions, and analytical support relevant to your matter.