Adjust Your Claims Audits: 5 Common Issues & How to Fix Them

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Find and Mitigate These Common Claims File Mistakes

A carrier's claim quality assurance process is the backbone of success. QA auditors assess open, denied and paid claims to determine if avoidable errors occurred during processing, adjusting or settlement. Their reviews track performance against business standards and help improve internal operations and claim quality. This whitepaper discusses five of the most common issues facing auditors and offers practical tips on how to mitigate issues before they affect your bottom line.

  • How can claims adjusters and handlers prevent leakage?
  • What are the biggest issues spotted during claim audits?
  • How do payment precedents affect claim quality?
  • What are some ways to reduce file errors and omissions?

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